Studing of the role of functional-metabolic disorders of the cardiovascular system in rehabilitation of patients with ischemic stroke
https://doi.org/10.29413/ABS.2025-10.3.10
Abstract
Background. Ischemic strokes are one of the leading causes of primary disablement with complete and partial disability. Rehabilitation measures initiated at the earliest possible time from the onset of stroke contribute to a faster and more complete recovery of impaired functions of the central nervous system.
The aim. To establish the pathogenetic factors of functional and metabolic disorders of the cardiovascular system in ischemic stroke and to evaluate the effectiveness of rehabilitation measures.
Methods. Holter monitoring of ECG and blood pressure upon admission and on the 10th day of stay in the rehabilitation department. Patients daily received dry carbon dioxide baths, low-intensity magnetic therapy on the cervical-collar region, therapeutic massage of the cervical-collar region, ethylmethylhydroxypyridine succinate 50 mg. Descriptive and mathematical statistics methods were used with the Statistica 10.0 software package.
Results. On the 10th day of rehabilitation treatment, patients showed an increase in heart rate, a decrease in supraventricular ectopic activity and the number of pauses > 2500 ms, a decrease in systolic and diastolic blood pressure, an increase in the index of functional changes in 65 % of patients, the Kerdo autonomic index in 59 %, the endurance coefficient in 85 %, pulse arterial pressure in 80 %, and the adaptation potential in 80 % of patients.
Conclusion. The results of the study indicate a clear tendency towards normalization of the functional state of the cardiovascular system in patients during rehabilitation treatment in the early recovery period after ischemic stroke and may indicate an adequate compensatory response of this system and mobilization of the body’s adaptive capabilities. The results obtained can serve as a basis for developing recommendations for further rehabilitation measures in the late recovery period after ischemic stroke.
About the Authors
V. T. Dolgikh
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
Russian Federation
Russian Federation
Vladimir T. Dolgikh – Dr. Sc. (Med.), Professor, Honored Scientist of the Russian Federation, Chief Researcher at the V.A. Negovsky Research Institute of General Intensive Care, Head of the Department of General Pathology at the Institute of Higher and Additional Professional Education
Petrovka St., 25, building 2, Moscow 107031
К. P. Ivanov
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology;
Institute of Medical and Biological Problems of the Russian Academy of Sciences
Russian Federation
Russian Federation
Kirill P. Ivanov – postgraduate student of the Department of General Pathology at the Institute of Higher and Additional Professional Education; research scientist
Petrovka St., 25, building 2, Moscow 107031;
Khoroshevskoe Shosse St., 78A, Moscow 123007
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Review
For citations:
Dolgikh V.T., Ivanov К.P. Studing of the role of functional-metabolic disorders of the cardiovascular system in rehabilitation of patients with ischemic stroke. Acta Biomedica Scientifica. 2025;10(3):99-105. (In Russ.) https://doi.org/10.29413/ABS.2025-10.3.10
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