Author/Editor		Ivašković, Daroslav; Majić, Tomislav; Prašnikar, Metod; Krajačič, Boris
Title		Vpliv stacionarne rehabilitacije na prekatno ektopično aktivnost pri bolniku po prebolelem srčnem infarktu
Translated title		Impact of stationary rehabilitation on ventricle ectopic activity in a patient recovering from cardiac infarction
Type		članek
Source		In: Kenda MF, Rakovec P, editors. Sodobna obravnava motenj srčnega ritma. 9. kardiološki dnevi; 2000 okt 20-21; Šmarješke toplice. Ljubljana: Združenje kardiologov Slovenije,
Publication year		2000
Volume		str. 69-74
Language		slo
Abstract		Prior to a start of rehabilitation of a patient recovering from cardiac infarction, complete assessment of deterioration risk of primary illness and ability to perform complex physical therapy is required. Fundamental principles for risk evaluation are myocardial ischemia. function of the left ventricle, and cardiac rhythm disturbances. High level of ventricular ectopic activities (ventricular tachycardia, frequently repetitive ventricular extrasystoles) of a patient recovering from cardiac infarction at a later hospitalization phase indicates an increased risk of acute cardiac event and unexpected death. Stationary form of rehabilitation of a patient recovering from cardiac infarction includes a varied approach in evaluation of a patient's clinical status. In patients having complex ventricular arrhythmias, a repeated 24-hour dynamic electrocardiography is required before taking an exercise test. Three-week stationary rehabilitation of the patients recovering from cardiac infarction has no significant impact on the changes in physical ability, double product load at 75 W, heart rate during rest, and the average number of ventricular extrasystoles. Irrespective of short rehabilitation, we found out that in a larger number of patients a decrease of heart rate occurred during rest, a number of patients with polymorphic ventricular extrasystoles is smaller, and that in patients with better physical ability there is. on average, a smaller number of ventricular extrasystoles. Unexpected death of a patient recovering from cardiac infarction can be a consequence of increased activity of simptomaticus. Regular physical activity over a period of at least six to eight weeks increases tonus of parasympaticus and has a preventive impact on frequency of unexpected cardiac death. (Abstract truncated at 2000 characters.)
Descriptors		MYOCARDIAL INFARCTION VENTRICULAR PREMATURE COMPLEXES DISEASE MANAGEMENT DEATH, SUDDEN, CARDIAC