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Biomedical subjects

A Kokutsov

Publications and source records attributed to A Kokutsov.

17 recordsLinked to original sources
PubMed1991

[The assessment of the physical work capacity of women with hypertension in the climacteric].

The author studied the hypotensive effect on women with hypertonic disease during climacteric and investigated their physical capacity for a period of one year. The object of the study was 56 women with climacteric syndrome during climacteric as 38 out of 56 women suffered from hypertonic disease (HD). A considerable reduction in the physical working capacity of women suffering from HD during climacteric 326 +/- 20 kgm/min was found. After the performed one-year treatment the physical working capacity was increased considerably to 606 +/- 23 kgm/min at p less than 0.001, to which an increase in the heart output (presented as heart frequency and arterial blood pressure) corresponded. The best manifested effect in recovery of the physical working capacity in patients with HD during climacteric was found after hypotensive therapy, but the combined (hypertensive and sedative) therapy was on the second place and the sedative therapy--on the third place.

Climacteric↗
PubMed1990

[The effect of combined rehabilitation on the physical work capacity of patients who have had a myocardial infarct].

125 patients with past myocardial infarction (basic group) have been treated for 5 years by a comprehensive rehabilitation program and their physical fitness was checked against 35 patients also with past myocardial infarction who did not take part in the rehabilitation program (control group). The rehabilitation program included physical exercises, measured walking and psychological rehabilitation. The results show that the physical fitness of the basic group was significantly higher than that of the control group and the patients could sustain physical load over 600 kgf/min. 88.7% of the basic group patients returned to their professional occupation against 71.2% for the control group. Highest mortality was recorded during the first year following the discharge from the hospital. At the end of the 5-year observation period 77.2% of the basic group patients were alive versus 72.8% of the control group and 70.4% of the basic group patients are working vs 50.8% of the control group. The patients who had taken part in the comprehensive physical rehabilitation are with improved physical fitness (statistically proved). The relation between the restored physical fitness and the real resuming of professional activity is proved.

Adult↗
PubMed1990

[The effect of obzidan on the tolerance for physical loading of hypertension patients].

The effect of obsidan (propranolol) on the physical load tolerance was examined in 65 hypertensive patients up to 55 years of age treated for one year in outpatient conditions. The patients were classified into two groups: basic group of 45 patients with hypertension in initial II stage and a control group of 22 hypertensive patients. The basic group patients were treated in the course of one year with obsidan in doses of 80 up to 160 mg daily. The control group patients were treated irregularly with other hypotensive drugs. The dynamic indices were examined in rest and after physical load before and after treatment. The long-term treatment with obsidan led to an improvement of the general condition, effective lowering of the arterial pressure in rest and after physical load, increased tolerance to physical load, decreased double product.

Drug Evaluation↗
PubMed1990

[Secondary prevention of the basic risk factors in patients with a history of myocardial infarction].

160 patients under 60 years of age with a past myocardial infarction, proved clinically and electrocardiographically, were followed up for 3 years during which period a secondary prophylaxis of the basic risk factors was carried out. The smokers were 71.9% and 72.2% of them were over 46 years of age. 65.2% of the smokers gave up smoking after being advised by the authors to do so. Positive changes were found concerning the risk factors under observation in the patients--a statistically significant decrease of the arterial pressure and cholesterol serum level and a considerable increase of the tolerance to physical activity in the non-smokers and the smokers who had given up smoking. Reduction of the frequency of stenocardia attacks, extrasystoles, ST-depression as well as a reduction of the risk of another myocardial infarction were also established. The secondary prophylaxis carried out by the authors in their outpatient practice on patients with past myocardial infarction has proved its efficiency and ought to be recommended.

Bulgaria↗
PubMed1990

[Outpatient polyclinic observations on senzit in the treatment of ischemic heart disease].

56 patients, aged from 28 up to 60 years, with ischemic heart disease II-III functional class according to the Canadian classification were treated with the original Hungarian drug Sensit in out-patient conditions. The number of patients with anginal pain fell from 56 to 12 and the overall effect of the Sensit treatment was 84% (47 patients improved). The physical load tolerance significantly increased--from 58.2 to 67.4 W. Sensit influences the pathological ECG changes--ST segment lowering after physical load. It must be emphasized that the effect of the Sensit treatment is seen after a 3 week course of treatment at least. The drug is suitable for an out-patient treatment.

Adult↗
PubMed1989

[The psychological rehabilitation of patients having had a myocardial infarct at the polyclinic stage].

The psychological rehabilitation of patients with myocardial infarction was studied in 104 persons: a basic group of 70 patients and a control group of 34 patients. The E. Key's test recommended by the WHO was used. The mean age of the patients in the basic group was 51 years and that of the patients in the control group was 53 years. The employees were more numerous than the physical workers. The results of the psychological test in the basic group showed a statistically significant decrease of the state of anxiety and depression at the end of the rehabilitation period. In this group the active rehabilitation programme led to considerable favourable changes in the psychic state--improvement of the mood and diminishing of the anxiety and depression and contributed to the favourable end of the process of psychological adaptation to the changed by the disease conditions of life. The patients in the control group who did not perform the rehabilitation programme showed a tendency toward improvement of the psychic state.

Adult↗
PubMed1989

[Mortality of patients with a history of acute myocardial infarct 3 months after the disease].

The lethality rate of patients with past myocardial infarction after the third month of the infarction is discussed. Two groups of patients with past myocardial infarction were followed up for 4 years after the third month of the infarction. The basic group included patients who carried out a rehabilitation program while the patients in the control group were not included in any kind of rehabilitation. At the of the first year the lethality rate of the basic group of patients was 5.71%% while of the control group it was 8.82%. In the second year the lethality rate fell in the basic group to 4.55% and in the control group to 6.45%. In the third year the lethality rate was 3.17% for the basic group and 3.45% for the control group, and in the fourth year it was 1.63% for the basic group and 3.57% for the control group. The rehabilitation program carried out with the patients of the basic group had exerted a favorable influence on the survival of the patients and had led to a lower total lethality rate of 15.06% compared to that of 22.29% of the control group for the whole four year period of observation. The physical rehabilitation reduces the known until now factors of increased risk as well as the possibility for a new infarction.

Adult↗
PubMed1987

[Temporary work incapacity in myocardial infarct patients in the area covered by the 23d Polyclinic in Sofia].

For a five year period 70 patients with myocardial infarction were followed up in order establish the length of the temporary incapacity for work. The chronic coronary insufficiency and cardiac failure were taken into consideration and in all patients bicycle ergometric examinations were carried out. The results show that the basic criterion for restored working capacity is the functional state of the myocardium (stage of chronic coronary insufficiency and degree of cardiac failure). The patients are classified into three groups according to the functional classification of the New York Cardiological Association. Of the patients followed up 88.57% fully restored their working capacity, the other 11.43% remained disabled. The mean length of the temporary disablement of the patients who restored their working capacity was 174 days. The use of non-invasive methods for examination of the cardiovascular system in polyclinical conditions is of basic importance for evaluation of patients' working capacity.

Absenteeism↗
PubMed1987

[Physical rehabilitation of patients who have had a myocardial infarct--the polyclinic stage].

70 patients who had suffered myocardial infarction were treated for a period of two months by a rehabilitation program including domestic activity, remedial gymnastics and prescribed walking. The program was carried out in polyclinical and domestic conditions. The patients were classified into functional groups according to the classification of the New-York Cardiological Association. At the end of the rehabilitation treatment the number of patients in functional class II sharply increased, a slight increase was noted also in functional class I, but the number of patients in functional class III significantly decreased. The number of patients able to walk 5 km or more increased, too. Of the 70 patients treated by this rehabilitation program 62 (88.58%) fully restored their working capacity and the functional state of their cardiovascular system was classified as I or II functional class. The remaining 8 patients (11.42%) still needed polyclinical treatment. The authors' experience supports the need of a rehabilitation program for patients who had suffered myocardial infarction which has to be carried out in polyclinical conditions and will be direct continuation of the rehabilitation program carried out in the hospital or in the specialized sanatoria.

Activities of Daily Living↗
PubMed1987

[Electrocardiographic changes in the pathological climacteric].

The authors share their experience in the importance of climacteric cardiopathy among the dyshormonal cardiopathies under out-patient department conditions. The observation is based on 20 cases of women, aged from 42 to 49. The subjective complaints of the patients were followed as well as the objective findings, some biochemical indices, arterial pressure and the electrocardiographic image within the course of two years. The results from the electrocardiographic records are of particular importance, giving the changes in T-wave of precordial leads, the necessity of differentiation from those in ischemic heart disease and the effectiveness of the treatment applied.

Adult↗
PubMed1986

[Dispensary observation and survival of patients with a history of acute myocardial infarct in relation to the risk factors].

The observation was carried out on a group of 138 patients with a past history of acute myocardial infarction for a period of 5 years, after hospital and sanatorial treatment under the conditions of out-patient department. An age group from 30 to 78 years has been cowered with an average age of 59. The patients have been followed up in a clinical and paraclinical aspect according to certain parameters with the adequate drug treatment. The study brought forth the importance of the rhythm and conduction disorders, advanced after the infarction incidence, reinfarction and the following phenomenal of decompensation with post-hospital lethality. The existence of risk factors was confirmed to be with unfavourable effect as regards the remote prognosis of the patient. The importance of the adequate and purposeful follow-up of the patients, with a past history of acute myocardial infarction, is stressed upon as well as its significance for the increase of the percentage of survival during the post-hospital period.

Adult↗
PubMed1986

[Peroral contraceptive agents and arterial hypertension].

The authors' task was to follow up the effect of the peroral contraceptives upon arterial pressure. The study was carried out on 94 females, aged from 20 to 40, distributed in age groups of five years with approximately equal number. Their studies reveal a comparatively early development of hypertonic reaction after the initiation of the medication in a rather high percentage of the females--14.89. The elevation of arterial pressure is in a direct correlation with the age and lipid metabolism. The changes in arterial pressure are mainly on account of the systolic pressure and in direct correlation with the medication, since the values of arterial pressure were normalized after the discontinuation of the contraceptives. Follow up care is recommended to those females with a frequent checking of their health state.

Adult↗
PubMed1985

[Outpatient polyclinic rehabilitation of patients who have had a myocardial infarct].

Rehabilitation of patients after myocardial infarction has been organized at polyclinical conditions. Forty four patients, aged from 30 to 56, with a duration of the infarction--3-4 months, in a good somatic state and no complications at present, were rehabilitated. The rehabilitation programme was conducted daily for one month with respective tests of loading. As a result, 52,3 per cent of the total number of patients, have completely restored their capacity for work and--back to their previous labour activity, 34.I per cent were transferred to facilitated labour conditions and only 13,6 per cent were permanently disabled. The last are with rhythm disorders and residual angina pectosis. The rehabilitation period lasted from 6 to 12 months since the onset of infarction. Our data confirm the adequacy and necessity of proper rehabilitation measures under polyclinical conditions.

Adult↗
PubMed1984

[Importance of electrocardiography under physical loading for the early diagnosis of ischemic heart disease in a nonintegrated polyclinic].

With the physical loading, performed under polyclinical conditions, on 78 subjects, aged from 22 to 53, with undistinguished and atypical precordial pains, combined with prevailing neurasthenic complaints, with vegetative symptomatics, positive ECG findings were established in 28 of them (35%) - horizontal and descending depression of the segment S-T - 23 patients, lowering of type J - 5 patients. Suspicious signs of IHD were found in 17 from the examined, manifested with insufficient decrease of the segment S-T. Resulting from the physical loading of the whole patient group, suspicious of IHD, cardiac neurosis was established in 65 per cent of them (having been loaded to 150 W). The electrocardiography with physical loading proved to be a particularly valuable method in the diagnostics of IHD with an atypical course as regards the clinical manifestations or as regards the electrocardiographic findings.

Adult↗
PubMed1984

[Curbing of arrhythmias under outpatient polyclinic conditions].

The material has been collected in the course of two years and covers 48 cases with paroxysms of supraventricular paroxysmal tachycardia (28), auricular fibrillation (4) ventricular tachycardia (2), group and polytopic ventricular extrasystoles (14), organic cardiac diseases (30) and 18--inorganic heart diseases. Paroxysms were interrupted by isolamid, tachmalin lidocain via slow intravenous infusion with constant ECG, auscultation and hemodynamic control, monitor follow up. The paroxysms successfully coped were 43. It proved possible to interrupt the rhythm disorders under the conditions of non-integrated polyclinic provided the functional consulting room is well equipped. The problem of early and effective treatment of rhythm disorders even under polyclinical conditions is solved, thus avoiding the unnecessary hospitalization of some of those patients and delay in the effective treatment of the other part of the patients. The early diagnosis and proper therapeutic behaviour of the physician towards the patient from the very first moment of contact to the transportation and hospitalization of the patient is of vital importance. The interruption of rhythm disorders must very cautiously be performed--the ventricular tachycardia and polytopic extrasystoles in particular, that considered only an introductory treatment.

Adult↗
PubMed1984

[Arrest of rhythmic disorders in an outpatient polyclinic].

The material has been collected for two years and covers 48 case with paroxysm of supraventricular paroxysmal tachycardia (28), auricular fibrillation (4), ventricular tachycardia (2), group and polytopic ventricular extrasystoles (14), with organic heart diseases (30) and with non-organic heart diseases (18). The paroxysms were coped with isolanid , tachmalin and lidocain , sow intravenous infusion under constant ECG, auscultatory and hemodynamic control and monitors. The number of the successfully coped paroxysms is 43. It proved to be possible to interrupt the rhythm disturbances under the conditions of non-integrated polyclinic in case of properly equipped functional consulting room. In this way the problem of early and effective treatment of rhythm disturbances under polyclinical conditions is solved, hence--avoiding both the unnecessary hospitalization of part of those patients and the delay in the initiation of effective treatment of the other part of them. The early diagnosis and adequate therapeutic behaviour of the physician towards the patient at their first contact till the moment of their transportation and hospitalization proved to be of particular significance. The out-patient department interruption of rhythm disorders should very cautiously be performed, particularly in case of ventricular tachycardia and polytopic extrasystoles, that being only their initial treatment.

Adult↗