Physiotherapy for coronary heart disease

Ischemic heart disease is a disease based on the discrepancy between the myocardium's need for oxygen and the level of its actual supply with coronary blood flow. The main clinical symptom of IHD is angina, which is characterized by paroxysmal chest pain or its equivalents.

Depending on the form of coronary heart disease at the hospital stage, by the timing of the onset and by the corresponding sequence and combination, physiotherapy methods for this disease are divided into four groups.

• Group I - methods (factors) that act on the higher and vegetative centers of the nervous system and on the peripheral sympathetic ganglia and receptors: electrosleep, medicinal electrophoresis, galvanization and magnetic therapy (exposure to VMF).
• Group II - methods (factors) of direct impact on the heart area: UHF therapy and laser (magnetic laser) therapy.
• Group III - methods (factors) that affect systemic and regional hemodynamics. The main method is UHF therapy.
• Group IV - methods that have a normalizing effect on metabolic processes in the body of a patient with coronary heart disease and other risk factors. In this case, the leading role is given to balneotherapy.

In case of stable course of ischemic heart disease in outpatient and home conditions, as well as at the patient's workplace, it is recommended to conduct rehabilitation and anti-relapse courses of physiotherapy. The most effective and time-efficient methods are laser (magnetic laser) therapy and information-wave exposure.

In laser (magnetolaser) therapy, it is preferable to use infrared emitters (wavelength 0.8 - 0.9 µm). The method is contact, stable. Open areas of the skin are irradiated.

Fields of influence of the emitter with an irradiated surface area of about 1 cm:

• I - the middle of the left sternocleidomastoid muscle;
• II - the second intercostal space to the right of the sternum;
• III - the second intercostal space to the left of the sternum;
• IV - the fourth intercostal space along the left midclavicular line (area of absolute percussion dullness of the heart);
• V - X - three fields paravertebrally on the left and right at the level of CIII - ThV.

Combination of impact fields: without cardiac arrhythmia - II - IV fields; in the presence of cardiac arrhythmia - I - IV fields; with concomitant osteochondrosis of the spine with radicular syndrome and hypertension - II - X fields.

PPM 1 - 10 mW/cm2. Magnetic nozzle induction 20 - 40 mT. Optimal radiation modulation frequency: II - IV fields - 1 Hz for tachycardia and normosystole, 2 Hz for bradycardia; field - 10 Hz; V - X fields - 80 Hz. Continuous radiation exposure is also effective. Exposure time per field is 30 - 60 sec, per II - X field - 2 min. A course of 10 daily procedures, once a day in the morning.

Fields of influence of the matrix emitter: - the fourth intercostal space along the left midclavicular line (area of absolute percussion dullness of the heart); II - the interscapular region of the spine at the level of CII, - ThV).

Radiation modulation frequency: field - Hz for tachycardia and normosystole, 2 Hz for bradycardia; II field - 80 Hz. Exposure time on field 2 min, on II field 4 min, for a course of treatment 10 daily procedures once a day in the morning.

It is recommended to repeat the course of laser (magnetic laser) treatment for the purposes of rehabilitation and prevention of relapses of coronary heart disease every 3 months (4 times a year).

An alternative to laser therapy is information-wave exposure using the Azor-IK device. The emitter is placed on a naked area of the body; the technique is contact and stable. Exposure fields: - precordial area (area of absolute percussion dullness of the heart) on the anterior surface of the chest; II - III - shoulder area on the right and left (in the presence of concomitant hypertension); IV - the middle of the interscapular area (in the presence of osteochondrosis of the thoracic spine). The modulation frequency of radiation on the precordial area for tachycardia and normosystole is 2 Hz, for bradycardia 5 Hz; on the shoulder area 10 Hz, on the interscapular area 80 Hz. The exposure time per field is 10 minutes, the course of treatment is 10 procedures daily 1 time per day in the morning.

As with laser (magnetic laser) therapy, patients with coronary heart disease are recommended to repeat a similar course of information-wave exposure every 3 months (4 times a year).

If psychological rehabilitation of patients with coronary heart disease is necessary, it is recommended to perform exposure using the Azor-IK device to the projection of the frontal lobes of the brain in a contact, stable manner, 2 times a day (morning and evening). The frequency of EMI modulation in the morning after waking up is 21 Hz and before sleep at night - 2 Hz. The exposure time for 1 field is 20 minutes, for a course of 10-15 procedures daily. Repeating such a course is not earlier than 1 month later.

It is possible to perform consecutive procedures on the same day for ischemic heart disease in outpatient and home settings:

• laser (magnetic laser) therapy + psychological rehabilitation using the Azor-IK device;
• information-wave impact using the Azor-IK device + psychological rehabilitation using the Azor-IK device.

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