| Author/Editor | Ivašković, Dragoslav | |
| Title | Bolnik s srčnim popuščanjem v zdravilišču | |
| Translated title | Patients with heart failure in healt resort | |
| Type | članek | |
| Source | Zdrav Vars | |
| Vol. and No. | Letnik 40, št. 3-6 | |
| Publication year | 2001 | |
| Volume | str. 180-3 | |
| Language | slo | |
| Abstract | Patients with a weakened left ventricle function and clinical signs of a heart failure, who need a dynamic and many times continuing follow-up and control of medicamentous treatment and an evaluation of clinical state, can carry out an integral rehabilitation programme in the institutions ensuring optimal, professional, technologic and organizational conditions. Regular physical exercise has a positive influence on peak oxigen consumption in physical activity of patient with chronic heart failure; this influence resembles the influence on a healthy heart or on a heart of patient without chronic heart failure. Indications and contraindications for physical exercise and stationary rehabilitation are equal for patients with heart failure as well as for coronary patients without the signs of heart failure. Regular and adequately planned physical exercise improves the functional capability of patient with heart failure for 18-34% in the case that it lasts three months. Global and our own experiences confirm the need for a longer rehabilitation of patients with heart failure (4-6 weeks). In this way it would be possible to influence positively the quality of life of patients with chronic heart failure and directly decrease the number of complications and treatment costs. | |
| Summary | Bolniki z oslabljeno funkcijo levega prekata in kliničnimi znaki srčnega popuščanja, ki potrebujejo dinamično in večkrat nepretrgano spremljanje in kontrolo medikamentnega zdravljenja in oceno kliničnega stanja, lahko izvajajo celovit program rehabilitacije v ustanovah, ki zagotavljajo optimalne strokovne, tehnološke in organizacijske pogoje. Redni telesni trening pozitivno vpliva na maksimalno porabo kisika pri obremenitvah bolnika s kroničnim srčnim popuščanjem. Ta vpliv je podoben vplivu na zdravo srce ali na srce bolnika brez kroničnega srčnega popuščanja. Indikacije in kontraindikacije za telesni trening in stacionarno rehabilitacijo so enake za bolnike s srčnim popuščanjem kot tudi za koronarne bolnike brez kliničnih znakov srčnega popuščanja. Redni, ustrezno odmerjeni telesni trening izboljšuje funkcionalno sposobnost bolnika s srčnim popuščanjem za 18-34% v primeru, da traja najmanj tri mesece. Svetovne in naše izkušnje potrjujejo potrebo po daljši rehabilitaciji bolnikov s srčnimi popuščanjem (4-6 tednov). Na ta način bi lahko pozitivno vplivali na kakovost življenja bolnika s kroničnim srčnim popuščanjem in neposredno zmanjšali število zapletov in stroške zdravljenja. | |
| Descriptors | HEART FAILURE, CONGESTIVE HEALTH RESORTS |