Badtieva Viktoriaprofessor, doctor of medicine

The Russian Scientific Centre of Restorative and Resort Medicine,

Moscow, Russia

Physiobalneotherapy methods in the prevention,

treatment and rehabilitation programs of cardiovascular

diseases

Deaths by cause in the Europe

Cardiovascular disease mortality and mortality rate are falling in most Western European countries, reaching

in some countries 50-60%, that became possible by the wide use of primary and secondary preventive

maintenance and rehabilitation programs

According to the meta-analysis data which include 48 trials with 8940 patients, it has been revealed that the application of rehabilitation programs has led to decrease in

mortality rate from all causes by 20% p=0.005cardiovascular mortality by 26 % p=0.002

Taylor et al. Am.J.Med. 2004; 116:682-697

physical trainings

educational programs «School for patients and their relatives»

consultations with a psychologist

a suitable work placement

- not limited by the physical trainings;

- aimed at reducing modified risk factors.

Circulation. 2005; 111:369-376

In Russia the methods of Physiobalneotherapy have been successfully applied for a long time.

It is explained by the fact that we have a lot of sanatoriums (a resort and a health centre).

In sanatoriums we use a combination of physiobalneotherapy

methods and a wide range of medical services.

Since 1978 there has been a

state cardiac rehabilitation

system for patients after an

acute cardiovascular diseases.

- the hospital stage

- the recovery stage when the physiobalneotherapy methods are applied in a sanatorium

- the supporting rehabilitation stage in an outpatient clinic and a sanatorium

Patient

Psychologist

Social worker

Cardiologist

Physiotherapis

t

Doctor of physioth

erapy exercises

Nurse

The Russian Scientific Centre of Restorative and Resort Medicine -

a central institute in Russia on balneology

The mechanism of cardiovascular effects:

the impact on the nervous and neuro-humoral regulation mechanisms for the circulation

the restoration of the function of the central and autonomic nervous system

the impact on the neuroendocrine processes

The mechanism of cardiovascular effects:

improved tissue

oxygenation

increased oxygen-transport

function of the blood

the effect on extra cardiac mechanisms of the circulation

the arterial vasodilation

improved microcirculation

the venous vasodilation

reduced systemic vascular resistance

The mechanism of cardiovascular effects:

increased contractility

the restoration

of bioelectric activity of the heart

the restoration of the central section of the blood circulation -

increased cardiac output

improved myocardial metabolism

the normalization of the oxygen consumption by the myocardium

improved coronary circulation

the decrease in the β-adrenaline acceptors sensitivity

Physiobalneotherapy methods in the prevention, treatment and rehabilitation programs of

cardiovascular diseases

Prevention of cardiovascular disease

Reduction of cardiovascular risk factors

Treatment of patients with diagnosed CVD

Rehabilitation after a surgical intervention

-Laserotherapy -Air-carbonic baths- The general contrast baths

-Laserotherapy -Gas carbonic baths-Underwater shower-massageUnderwater shower-massage

-Laserotherapy -Gas carbonic baths-The general jodo-bromic baths

-Laserotherapy -Air-carbonic baths

-AG III st +IHD, aAG III st +IHD, angina pectoris III fIII f. . clcl

-Laserotherapy -Air-radonic bathsAir-radonic baths

-AG III st AG III st + + IHDIHD, , aangina pectoris III fIII f. . cl+ cl+ Heart failure Heart failure II – – IIII

-IHDIHD, , aangina pectoris III fIII f. . clcl..

- AG III st+ IHDAG III st+ IHD, , aangina pectoris III fIII f. . cl+ cl+ Heart failure Heart failure II – – IIII

According to our research, the efficiency of rehabilitation programs increases by 10-40% in case methods of

physiobalneotherapy are applied

Sorokina E.I. (1970-1995)Knyazeva T.A. (1985-2009)Badtieva V.A. (1996-2009)

The result of the use of physiobalneotherapy methods:

increased cardiac outputthe strengthening of

the compensatory mechanisms

the increase of the reserve capacity (myocardial, coronary

and aerobic reserves)

the increase of the physical capacity of an organism.

We are ready to cooperate!

The Russian Scientific Centre of Restorative and Resort Medicine, Moscow, Russia