CORRECTION OF THE ENERGY COMPONENT IN THE COMPLEX TREATMENT OF PATIENTS WITH UNSTABLE ANGINA AND ARTERIAL HYPERTENSION

Abstract

For the management of unstable angina (UA) patients, it is important to consider not only traditional comprehensive drug treatment, but the use of techniques to activate the energy resource of the cardiovascular system and the whole organism. Modern protocols for the management of patients with UA do not take into account the correction of the energy component. The latter opens up new opportunities for both treatment and rehabilitation of this group of patients. Aim: to study the impact of the correction of the energy component on the clinical course of UA in the complex treatment of patients with UA and hypertension. Methodology: 113 patients with UA and concomitant hypertension of stage II, 2-3 degrees, aged 63.8±8.4 years (41 men and 72 women), were examined. Patients were divided into 4 groups: main group I (MG I) (n=22) – adults 55.7±5.2 years old, main group II (MG II) (n=44) – elderly 68.7±4.7 years old, control group I (CG I) (n=20) – adults 54.3±4.3 years old, control group II (CG II) (n=27) – elderly 69.2±4.8 years old. All patients underwent electrocardiogram (ECG), echocardiography, measurement of blood pressure (BP), respiratory rate (RR), and chest X-ray. The diagnosis of UA and AH was established according to recommendations. All patients received drug therapy according to the protocols, patients of MG I and MG II additionally performed selected modified gymnastics exercises during period of hospitalisation. Changes in the patient's condition were recorded by surveying complaints, monitoring ECG, BP, and RR after 10 and 20 days of treatment. Results: Among patients of MG I, on the 10th day of therapy, complete remission of pain in the heart area was achieved in 11 people (55%), which allowed to cancel painkillers (for comparison, in CG 1 – 7 people (35%), p = 0.024); and in 45% of cases – to reduce their dosage by half, and after another 10 days – there was no need to take antianginal drugs. Complete remission of pain syndrome in group MG 1 was achieved for a period of 6 months. In MG 2, after 14 days, the dose of antianginal drugs was halved, and on the 20th day, the dose of ACE inhibitors and beta-blockers was halved, nitrates were discontinued in 33 patients (75%). There was no possibility to adjust the dose in the direction of its reduction or to discontinue drugs of the nitrate, ACE inhibitors, beta-blockers group in CG2. Complete remission of pain syndrome in MG2 was recorded on the 37th (33-41st) day of therapy (on the 5th week of therapy). Conclusions: for patients with UA and concomitant hypertension of stage II of 2-3 degrees, it is advisable to use selective modified exercises in complex treatment both for correction of the energy component in the areas of metameric innervation of the cardiovascular basin, and for stimulation of the general energy resource.