Physical activity for coronary heart disease. Therapeutic exercises for angina pectoris Angina pectoris and sports

Modern medical research has shown that various factors can contribute to the development of coronary heart disease (IHD + and angina pectoris. As a rule, it is impossible to get rid of the hereditary predisposition of the body to the disease. But it is entirely within your power to avoid another etiology.) First of all, this is alcohol abuse, psychotropic and narcotic drugs; smoking; stressful condition; violation of normal metabolism, which caused an improper diet; overwork in a chronic form, physical inactivity.

Terms: Physical inactivity is a weakened muscle condition caused by a sedentary lifestyle.

It is necessary to carry out a competent correction of the lifestyle, revise the canons of life for the better, which will avoid the above factors. First of all, and this applies to any person who does not even have complaints, it is worth observing the daily regimen, eating right, leading an active and healthy lifestyle, not smoking, not taking drugs and not drinking alcohol.

Heart structure and coronary heart disease

What are the benefits of physical activity (exercise) for angina pectoris and coronary artery disease?

regular repetition of physical exercises will allow you to constantly keep your muscles in good shape;
physical activity leads to an increase in “useful” blood lipids and prevents the appearance of atherosclerosis;
the likelihood of blood clots decreases;
general well-being and positive attitude improves;
reduces body weight and prevents the appearance of diabetes mellitus and much more.

Angina and sports

Many people ask the question: is it possible to play sports, run, go to workouts and do physical exercises with angina pectoris. Here the answer is unambiguous - you can. But there is one condition. Exercise therapy for angina pectoris is selected by a doctor. This is because in the process of physical education, the myocardium will require even more oxygen than before.

And acute oxygen deprivation will lead to pain and discomfort. If exercises for angina pectoris are prescribed by the attending physician, the situation will look different. This does not mean that the set of exercises will provide only joy, there will be difficulties. But moderate physical activity will benefit, and not vice versa.

Respiratory gymnastics for angina pectoris

It is useful to engage in physiotherapy exercises, but it is worth remembering about proper breathing, in which the myocardium is fully saturated with oxygen. You can do breathing exercises following the example of yogis:

Sit on a chair; keep your back straight; think of something good and positive until you relax. Then take a deep breath in with your nose 1-2-3, hold your breath for 1-2 and exhale with your mouth 1-2-3-4-5. At the moment of exhalation, it is recommended to bend your arms at the elbows and, like a bird, strike the chest with “wings”. It is worth repeating such a breathing set of exercises 10-15 times. Three times a day.
For people suffering from angina pectoris, doctors recommend walking every day on foot in the fresh air, mentally imagining oxygen saturation of the myocardium.

Breathing exercises

Exercise therapy for angina and heart failure

Preventive treatment and further recovery of the body after treatment requires a set of special therapeutic exercises. For coronary artery disease, the following exercises are recommended:

Sit on a chair and lower your arms to the floor. Inhaling air, the arms are raised at an angle of 180 degrees, and exhaling, they are returned to the starting point. Such manipulations with ischemia are advised to be repeated five times.
Sitting on a chair, lock your hands on your belt. Then, alternately unbend one arm after the other and counter them to the starting point, repeating the exercise five times.
For ischemia, place your feet shoulder-width apart. With your arms bent at the elbows, raise them at chest level. In the process of inhaling, open your arms and turn the body to the side. When the patient returns to the starting position, you can exhale. Repeat the exercise four to six times.
If there are problems with running, then a moderate pace of walking is advised for half a minute, and then a fast pace for a minute. During this time, the body will not have time to be very depleted before the onset of acute pain.

Exercise therapy for ischemic heart disease and angina pectoris

Sit on a chair and lock your hands in the lock on your knees. Then gently raise your arms to shoulder level so as to turn your palms in the opposite direction. Repeat the exercise six to eight times in one go.
Sitting on a chair, put your right foot forward and your left foot behind the chair. In this case, it is recommended to rest your hands on the seat. The point is in alternating the position of the legs. Repeat the exercise eight to ten times.
There are also exercises while lying down. In this case, lie on your stomach so that your arms are extended along the body, palms down. Then slowly raise your legs up in any order. The main thing is that the knees are not bent. Do the exercise four to six times on each leg.
You can practice walking with a temporary acceleration for three minutes.
Place your feet shoulder-width apart and your hands on your waist. Perform circular rotations of your head 180 degrees, first in one direction and then in the other direction. It is recommended to repeat such therapeutic manipulations from four to six times in each direction.
Stand near a chair and grab the back with your hands. When inhaling, sit down, and when leaving, stand at the starting point. Repeat the exercise four to six times.

Always prioritize exercise and exercise that is enjoyable. Doing such a therapeutic exercise, and even going in for sports, must be in a good mood and with positive thoughts. Only then will physiotherapy exercises go for the future.

An active lifestyle and constant physical activity will make you feel better with angina pectoris and coronary artery disease

If you live in a multi-storey building, walking up the stairs can be a good start to your physical activity. In this case, you should not abruptly climb to the ninth floor, losing consciousness. Gradually, as you increase the floor, do small “feats”. And without realizing it, you will notice how you go home without an elevator.
For a gradual increase in physical activity, getting to work, go to the bus stop earlier. This is especially important for those people who work in the office while sitting at a computer and are prone to the development of physical inactivity.
If walking alone is only boring, buy a small dog. It is more fun to walk with her, and you will regularly go out into the fresh air. At the same time, no one says that you need to run after your pet in the park at breakneck speed. Calm and easy walking outside is always good.

Walking in the fresh air with a dog will improve your mood for angina and coronary heart disease.

Methods for treating arrhythmias with physical exercises, what should be exercise therapy?

With angina

Angina pectoris (angina pectoris)- pathology of the neurohumoral apparatus that regulates blood circulation. The disease occurs due to overload of various kinds, chronic stress, short-term negative emotions, overeating at night, exposure to cold, wind.

The main symptoms are: recurrent chest pain at rest (resting angina) or during exertion (exertional angina). Rest angina pectoris can manifest itself in a dream under the influence of dreams, it can be accompanied by coronary thrombosis, myocardial infarction and death.

The main directions of therapy. IN attack prescribed: bed rest, vasodilating and sedative drugs, diet therapy. Outside attack- dosed motor regimen, exercise therapy and massage.

Physical exercise expand the vessels that feed the myocardium, improve its contractile function. They also calm the central nervous system by removing pathological impulses. Exercise therapy is carried out 2-3 years after an attack of pain according to an individual method in the starting position, the least painful, in the form of elementary exercises for arms and legs and breathing exercises. The load is especially carefully given for angina pectoris at rest, since in this case the cardiac vessels are affected by atherosclerosis, they are inelastic. If there is no deterioration in the patient's condition, then more complex gymnastic exercises using apparatus, walking with lengthening the distance and changing the terrain should be included.

Massage very useful, as it helps to relieve a painful attack, psychoemotional stress, increase microcirculation, and prevent heart attacks. Massage of the collar area, back (to the lower corners of the shoulder blades), chest is performed. Stroking, rubbing and kneading is applied. In the area of the heart, vibration is carried out with the palmar surface of the entire hand (starting from the sternum, the hand slides to the spine). The position of the patient is sitting. Techniques are excluded: chopping, beating. The upper limbs are also massaged (first the right hand, then the left). The duration of the massage is 5–8 minutes. Course - 10-15 procedures. For prophylactic purposes, 2-3 courses are carried out in the interictal period. Massage has a pronounced analgesic effect for angina pectoris.

An innovative complex of exercise therapy for angina pectoris

1. "Walking" (sitting). Average pace. 30-60 steps.

2. Stretching. I. p.- hands behind head. Hands up - inhale, hold the breath (2–4 s). I. p.- exhale. 6-8 times.

3. Turn to the right, right hand to the side - inhale, fixation in the extreme position. I. p.- exhale. 3-5 times in each direction.

4. I. p.- hold the seat of the chair with your hands. With an exhalation, bend either the left or the right leg, pulling the thigh to the stomach with fixation for 1–2 s. 3-5 times with each leg.

5. Chest breathing with an inspiratory hold for 2–4 s followed by a gradual exhalation (4–6 s). Repeat 3-5 times.

6. Alternate raising of hands up, fixation in extreme position - inhalation; and. NS.- exhale. Average pace. 4-6 times for each hand.

7. Bends with paradoxical breathing. Tilt to the left (forced inhalation), right arm up (above the head). I. p.- exhale. The same in the other direction. 3-5 times in each direction.

8. Leaning on the back of a chair and holding on to the seat, slowly stretch your legs, fix in the extreme position for 2-3 s, straighten your torso, take a breath, and. NS.- exhalation (flexion-extension should be performed without lifting the heels off the floor). 4-6 times.

9. Bend your arms to your shoulders, bringing your shoulder blades together, expanding your chest - inhale. I. p... - exhale. 4-6 times.

10. Slowly step over with your feet in place (to a height of 5-10 cm from the floor) for 1-1.5 minutes

11. Sitting with muscle relaxation meditative relaxation 30 sec.

I. p.- standing.

1. Walking 1-2 minutes. The pace is slow, then medium. Further, the rhythms of breathing are performed in accordance with the rhythm of movement.

2. Movements with paradoxical breathing. I. p.- legs apart, arms to the sides. Cross your arms in front of your chest, grabbing your shoulders with your palms - inhale. I. p.- exhale. The pace is slow. 10-15 times.

3. Bends with paradoxical breathing. I. p.- legs apart, hands behind the head. Tilts to the left and right on inhalation, while straightening - exhale. The pace is slow. 5-8 times.

4. I. p. – O. with. Holding the back of the chair, perform 2-3 springy half-squats on the exhale. I. p.- inhale. The pace is slow. 8-10 times.

5. Rising on toes, hands on the belt, on inhalation, sequential (lower, middle, upper parts) filling the chest. I. p.- slow exhalation. 4-6 times.

6. I. p.- legs apart, fingers clenched into a fist. Alternate raising of hands forward. Average pace. 8-10 times.

7. I. p.- legs apart. Turn to the left (right), arms to the sides, fixation in the extreme position - inhale. I. p.- exhale. The pace is average, 3-6 times in each direction.

8. I. p.- sideways to the back of the chair; one hand on the back of the chair, the other on the belt. Slowly bend one leg, raising the knee forward, then, unbending, take it to the side. Return to and. NS. Repeat 4-5 times.

9. Movements with paradoxical breathing. I. p.- legs apart, arms to shoulders. Hands up, bend over and look at them - exhale. I. p.- inhale. The pace is slow. 4-6 times.

10. Slow walking. 1-2 minutes

11. Rest while sitting. Meditative relaxation 1-2 min.

I. p.- standing. Free breathing.

1. Walking on toes. Average pace. 1-1.5 minutes

2. Alternate slow bending of the arms to the shoulders, fix the extreme position, return to and. NS., clench your fingers into a fist for 2-3 s. Average pace. 10-12 times.

3. I. p.- legs apart, hands on the belt. Slowly leaning forward (gradual inhalation), arching the back and fixing the extreme position, forced exhalation. I. p. - inhale.

4. I. p.- legs apart, arms forward, fingers clenched into a fist. Leaning forward to simulate pushing off with ski poles on exhalation. I. p.- inhale. 8-12 times.

5. Movements with paradoxical breathing. I. p.- legs apart, hands behind the head. Hands up, arch your back - exhale. I. p.- inhale. The pace is slow. 6-8 times.

6. I. p. – O. with., hands below, fingers clenched into a fist. Slowly tensely bend your arms to your shoulders and unbend them to the sides. 8-10 times.

7. I. p.- legs apart, hands behind the head. Turns to the sides, while unbending the arms to the side. Average pace. 3-5 times in each direction.

8. Rhythmic meditative breathing. For 3-4 counts - inhale, for 4-5 - exhale. 30-40 p.

9. I. p. – O. with. Lunge with the leg of the same name slightly bent at the knee joint to the side, arms to the sides. Average pace. 3-5 times in each direction.

10. I. p.- legs apart, hands below. Slow circular movements with the shoulder girdle forward and upward - inhale; back-down - exhale. 8-10 times.

11. Walking in place with deep breathing. 1.5-2 minutes

12. Meditative relaxation 2-3 minutes, sitting rest with alternate relaxing movements of the muscles of the head and neck, face, shoulder girdle, arms, trunk, legs.

An innovative set of physical exercises for rest angina pectoris on the background of atherosclerosis

1. I. p.- lying on your back with a high head position. Free flexion and extension of the arms in the elbow joints 5-6 times. When straightening your arms - inhale, do not take your elbows off the bed. Free breathing.

2. I. p.- too. Alternate stroking of the feet against each other, without lifting the heels from the bed. 30 s. Free breathing.

3. I. p.- too. Flexion and extension of the feet 6-8 times. Breathing is arbitrary.

4. I. p.- too. Rotational movements of the feet in one direction, without lifting the heels from the bed. 20 seconds in each direction.

5. I. p.- the same, hands in front of the chest. Spread your arms to the sides - inhale, return to and. NS.- exhale. 3-4 times.

6. Lying on your back, legs bent at the knees with the support of the feet. Meditative walking while lying down. 10-20 times. Increase the tempo and amplitude gradually. Free breathing.

7. I. p.- too. Turning the body to one side, put the legs in the other (twisting). Perform without tension 4-5 times in each direction. Breathing is arbitrary.

8. I. p.- sitting on the edge of the couch, hands on the belt. Meditative breathing of medium depth 40 sec.

9. I. p.- standing. Walking calmly for 1.5-2 minutes.

10. I. p.- sitting on a chair with support on the back, hands on the belt. Expand the shoulders, bend in the lower back, bring the shoulder blades together - inhale; return to and. NS.- exhale. 4-6 times.

11. I. p.- the same, arms to shoulders, legs are straightened. Alternate slow bending of the leg with its abduction to the side - inhale, and. NS.- exhale. 3-4 times with each leg.

12. I. p.- sitting on a chair, legs bent and slightly apart, hands grab the knees. After preliminary inhalation, slowly tilt the body forward with elbows apart to the sides - exhale; and. NS.- inhale. 4-5 times. Do not take your hands off your knees.

13. I. p.- too. Walking for 10-15 minutes, alternating every 3-5 minutes (according to your state of health) sitting on a chair and getting up; then meditative walking with deep breathing for 15–20 minutes, sitting rest for 1–2 minutes. Depending on how you feel, the number of getting up from the chair and walking can be increased or decreased.

14. I. p.- sitting on a chair with support on the back. Rhythmic meditative breathing. Rest 2-3 min.

Angina attacks are treated, including with the help of special gymnastics, which is also a good preventive measure. Physical therapy or exercise therapy helps the body to gradually get used to physical activity, resulting in improved blood circulation and metabolism.

Can I exercise?

With angina pectoris, exercise therapy is one of the methods of therapy, since it contributes to the following processes:

normalization of vascular reactions during muscle work;
elimination of spasms in the cardiovascular system;
improving the functioning of the excretory system.

At the same time, it is important to correctly select physical activity so as not to worsen the state of health. It depends on the stage of the disease, which is:

The initial... The person experiences only slight discomfort, attacks are very rare and do not last long. Physical education is recommended for no more than 30 minutes. The exercise can be quite intense. They help improve the functions of internal organs, develop all muscle groups.
Typical... The patient experiences seizures during a variety of physical activities. Pain can overtake him when climbing stairs, walking for a long time, as well as during stress and emotional stress. Its general condition worsens, shortness of breath appears, heart rate increases. You can train for up to 20 minutes, while you must strictly keep your heart rate under supervision. Perform exercises in a less intense mode, be sure to take breaks between them, during which to restore breathing and pulse.

If your heart rate changes by 15% or more during exercise, stop exercising or take a break and slow down.

Pronounced... A person experiences pain syndrome even in a state of complete rest. You should give up active exercises and prolonged loads. However, even at this stage, it is allowed to perform physiotherapy exercises. Classes last no longer than 15 minutes (they include 5 minutes, which are given for a break between exercises). Exercise at a calm pace. If an attack develops, dizziness or shortness of breath appears, you should immediately stop exercising and seek the advice of a doctor.

Basic rules of exercise therapy

When doing physical therapy, it is important to adhere to the basic rules, which are as follows:

conduct classes 2-8 days after the attack, depending on its severity;
start training with a minimum load and duration;
when exercising, listen carefully to the body and, in case of deterioration in health, interrupt the complex, and, if necessary, consult a doctor to adjust physiotherapy exercises;
combine active exercises with breathing exercises.

Exercise complexes

Cardiologists have developed special complexes, which can be found below. Before performing them, it is necessary to consult with your doctor, who can supplement or replace some exercises, increase or decrease the duration of exercises.

Warm up

The lesson always starts with a warm-up. Its task is to prepare the body for further stress and "warm up" the muscles. Repeat each exercise 3-4 times:

Stand straight with your feet shoulder-width apart. Do body tilts left and right, back and forth at a calm pace. Look straight ahead.
Raise your arms over your head through the sides. Stand on tiptoes and reach for the sky, and then return to the starting position.
Starting position - lying on your back, legs and arms are spread apart, but without strong tension. Bend and unbend the fingers alternately on the lower and upper extremities.
Lie on your back. Move your toes back and forth.

Complex number 1

Perform exercises 4-5 times, and the starting position does not change - lying on your back:

Pull the shoulders up, trying to reach the tips of the ears with them. Perform the exercise slowly, without effort, keeping an eye on your breathing.
Bend your legs at the knees, and your arms at the elbows. One by one, it is measured to describe a circle with them.
Stretch your arms along the body, palms down, and bend your legs at the knees. Leaning on your legs, raise the buttocks and abdomen as much as possible, forming a triangle. The main load falls on the legs and arms.
Bend your legs at the knees and spread them in different directions, connecting the feet.
Finally, walking in place. For the first time, the duration of the walk should not exceed 1 minute. Then, with the permission of the doctor, it can be gradually increased.

Complex number 2

Suitable for those who suffer from stable angina pectoris. Consists of the following exercises:

Starting position - sitting on a chair, arms lowered and relaxed. Spread your arms to the sides to shoulder level, take a deep breath and lower with an exhalation. Repeat 5 times.
The starting position is the same, but the hands are located at the waist. Raise one hand across the side to shoulder level, inhale, return to the starting position and exhale. Do the same with the other hand. Repeat 3 times for each hand.
The starting position is standing, feet shoulder-width apart, arms bent horizontally at the elbow joint and fixed in front of the chest. Make turns of the body with the spread of the arms - inhale, return to the starting position - exhale. Repeat 4 times.
Finally, walk in place for 60 seconds.

In tandem with physiotherapy exercises, breathing exercises give good results, because when it is performed, the organs are enriched with oxygen, the heartbeat and metabolism are stabilized, the diaphragm is strengthened, the emotional state and well-being improves.

In case of angina pectoris, it is recommended to do breathing exercises according to the Buteyko method. The Soviet physiologist and clinician believed that with this disease a person breathes shallowly and with difficulty. Such unusual breathing for the body leads to the fact that the lungs quickly contract, and the vessels narrow. As a result, there is an excessive accumulation of carbon dioxide in the blood, and the body experiences oxygen starvation.

Thanks to Buteyko breathing exercises, the respiratory system is normalized, therefore, all organs are supplied with oxygen.

The breathing pattern is as follows:

inhale - 5 seconds;
exhale - 5 seconds;
pause with maximum relaxation - 5 seconds.

How to tell if you are breathing correctly? Place one hand on your stomach and the other on your chest. If, when inhaling, the abdomen is first drawn in, and then the chest, then the exercise is performed correctly. It should be remembered that they inhale through the nose and exhale through the mouth.

Contraindications to breathing exercises:

pregnancy and lactation;
chronic diseases;
inflammatory diseases of the small and large pelvis;
adenomyosis.

So, regular physical education and breathing exercises help get rid of the symptoms of the disease and improve the general condition and well-being of a person, as well as normalize the functions of all internal systems of the body. But all medical complexes are made under the strict supervision and supervision of a specialist!

The role of angina pectoris in ischemic forms of the disease
In what cases the prognosis is unfavorable
Treatment tactics and objectives
How to stop an attack of angina pectoris
Treatment at the ambulance stage
Therapeutic measures in a hospital setting
Outpatient treatment
Other treatments
Massage application
Physiotherapy
Folk remedies

Angina pectoris is a clinical form of coronary heart disease, which has typical manifestations in the form of:

attacks of chest pains of a pressing character radiating to the left shoulder, scapula, jaw;
pain lasting up to 30 minutes with spontaneous termination or under the influence of nitroglycerin;
connection with physical or emotional stress.

The presence of only two signs indicates atypical angina pectoris, and only one is not associated with the diagnosis at all.

Such rigid settings in diagnostics are necessary to comply with the possibility of treating angina pectoris at all stages according to a single algorithm.

The role of angina pectoris in ischemic forms of the disease

Statistical studies show an increase in the prevalence of angina in the population with aging:

among women in the 45–64 age group, 5–7% have it, and at the age of 65–84, 10–12%;
among men this indicator correspondingly increases from 4 - 7% to 12 - 14%.

In what cases the prognosis is unfavorable

The results do not always depend on how the angina is treated. The factors that negatively affect the course of the disease and lead to worse results have been studied and identified. Among them:

the presence of signs of heart failure and weakness of the left ventricle by ultrasound of the heart;
stenosis of large coronary vessels with a significant spread of the ischemic zone;
severe pain syndrome;
advanced age of patients;
prevalence of depression in the behavior of patients.

Treatment tactics and objectives

pain relief;
reduction of the zone of myocardial ischemia.

Both objectives directly affect the prognosis and life expectancy of patients.

give up smoking, alcoholic beverages, strong coffee;
switch to a diet with restriction of animal fats (fatty meat, sour cream, cream, lard, butter) and easily digestible carbohydrates (sweets, baked goods);
reduce physical activity to moderate, force yourself to move more, do exercises;
if you are overweight, spend low-calorie fasting days;
do auto-training, yoga, suitable soothing procedures to normalize sleep, improve the tolerance of stressful situations.

The patient must draw up a real plan of his actions and clearly adhere to its provisions. Treatment at different stages is carried out by their own methods.

How to stop an attack of angina pectoris

An attack of angina pectoris can occur at any time and does not depend on the place. The patient, with the help of assistants, must:

sit down (lying down is not necessary);
release the tight collar and belt for free breathing;
put a nitroglycerin tablet under the tongue or spray Isoket from a can;
if the attack happened at home, you can put a mustard plaster on the heart area;
massage the skin over the heart area, this helps to reduce the duration of pain;
alternative treatment recommends drinking a sip of brandy (no more) to dilate blood vessels.

The action of nitroglycerin ends in 5 minutes. You can take the pill again. Some people experience severe headaches and dizziness. This is due to a sharp decrease in blood pressure, especially typical for hypertensive patients. It is recommended to halve the dosage by dividing the tablets in half.

In the absence of effect or intense pain, you should call an ambulance.

Validol remains the drug of choice, it helps to calm down, the strength of the action is much weaker than nitroglycerin. But some patients love this particular drug.

Treatment at the ambulance stage

An ambulance doctor is usually interested in the medications he has taken. In the ambulance arsenal there are more powerful painkillers for stopping an attack:

coronary spasms, relieving spasm of cardiac vessels (Papaverine, Platifillin);
narcotic analgesics (Morphine, Promedol, Omnopon).

They are injected subcutaneously in the absence of the effect of nitroglycerin.

The cardiac team administers droperidol and fentanyl intravenously, possibly short-term inhalation of nitrous oxide.

With a prolonged and severe attack of angina pectoris, the patient is hospitalized in a hospital.

Therapeutic measures in a hospital setting

For the drug treatment of angina pectoris in a hospital setting, drugs of different groups are used, in accordance with the standards of therapy. The pharmacological action is aimed at preventing seizures, relieving spasm of coronary vessels, reducing myocardial oxygen demand and normalizing metabolic processes in cells.

There are two groups of basic drugs for angina pectoris.

The first line is a group of β-blockers and agents that cause the closure of calcium channels (Obzidan, Inderal, Anaprilin). Indicated for monotherapy (single drug) or in combination with other drugs.

The second line is added to the first line drugs, but sometimes they themselves become the means of primary treatment. These include:

long-acting nitrates (like nitroglycerin, but last up to 12 hours) Sustak, Nitrosorbide, Nitranol, Erinit;
inhibitors at the enzyme level - Chloracizin, Trimetazine, Nicorandil, Ivabradine;
with stable angina pectoris, patients are prescribed drugs that reduce blood clotting (Thrombus ass, Cardiomagnyl, Clopidogrel).

Outpatient treatment

The therapy continues with one or two drugs (first and second line). Curantil is prescribed to normalize blood viscosity and prevent thrombosis.
A drug from the statin group is selected according to indications.

The combination of angina pectoris with hypertension, diabetes mellitus, heart failure, rhythm and conduction disturbances requires very careful selection of the dosage for the elderly. Don't give them your pills. Even good remedies can be overwhelming.

Mercazolil, Methylthiouracil contain thyroid hormones, delay the development of atherosclerosis and dilate blood vessels, are used in courses in small dosages.
Combined action means include Korontin, Falikor, Intenkordin.
Long-term use of modern aspirin anticoagulants is recommended under the control of a coagulogram.
To normalize metabolic processes in the heart muscle, a course intake of Potassium orotat, Panangin or Asparkam, B vitamins with folic acid is shown, nicotinic acid is prescribed in injections.

Other treatments

In each region there are rehabilitation departments, sanatorium-type centers. In them, treatment is possible at the expense of the compulsory medical insurance fund (for the patient free of charge) and with additional paid services for nutrition and therapy.

The standards include all the necessary drugs, massage, exercise therapy, balneological treatment (baths, showers), the use of auto-training.

Massage application

Massage of the spinal points is applied in the cervicothoracic spine, in the interscapular region, in the region of the left shoulder and sternum.

The procedure lasts 15 - 20 minutes, the course is 10 sessions. The massage can be repeated twice a year.

In cases of a combination of angina pectoris with hypertension, brain lesions, massage of the collar zone and electrophoresis with Euphyllin are combined.

Physiotherapy

The complex of exercise therapy for angina pectoris should be selected individually by the doctor, taking into account the latest analyzes, ECG data and clinical symptoms.

Breathing exercises "teach" the myocardium to manage with less oxygen, improve ventilation, relieve the hypoxic state. It is recommended to breathe deeply 2 - 3 times a day, observing the following rules:

the room should be well ventilated, it is better to study outside;
inhale with your nose for a count of 1 to 3, then hold your breath for a count of 1, 2 and slowly exhale through your mouth with a count of five;
when exhaling, it is recommended to "beat" yourself on the chest with light movements.

Folk remedies

Treatment of angina pectoris at home is not complete without the use of folk remedies.

Currently, "rational" healers recommend crushing 300 g of garlic and mixing it with three chopped lemons and honey. Insist for at least a week. Take a tablespoon half an hour before meals. The action of phytoncides is combined with vitamin C and natural bioactive substances.

An interesting recipe: add 10 peeled garlic cloves to 2 cups of chicken broth, boil for about 15 minutes. Add a finely chopped medium bunch of parsley shortly before finishing. Strain the broth. Grate the boiled garlic and parsley and put them back in the broth. It is recommended to drink 1/3 cup before meals.

Hawthorn is taken in the form of a tincture of 10 - 15 drops before meals or boiled together with rosehips and drunk as compote.

You can buy ready-made alcoholic tincture from motherwort herb in the pharmacy. Take 10-15 drops.

A mixture of dried apricots, prunes, walnuts with honey and crushed lemon contains essential vitamins and is useful for heart disease.

Treatment of angina pectoris with folk remedies does not exclude prescribed medications. Taking anticoagulants with the recommendations of healers can be dangerous due to the increased action. The appearance of an allergic reaction in the form of a rash, itchy skin is a signal to stop using the prepared product.

When treating angina pectoris, do not get discouraged. Remember that mood affects the prognosis of the disease.

Exercise therapy for ischemic heart disease: a set of permitted exercises, recommendations

Terms: Physical inactivity is a weakened muscle condition caused by a sedentary lifestyle.

What are the benefits of physical activity (exercise) for angina pectoris and coronary artery disease?

regular repetition of physical exercises will allow you to constantly keep your muscles in good shape;
physical activity leads to an increase in "useful" blood lipids and prevents atherosclerosis;
the likelihood of blood clots decreases;
general well-being and positive attitude improves;
reduces body weight and prevents the appearance of diabetes mellitus and much more.

Angina and sports

Respiratory gymnastics for angina pectoris

Sit on a chair; keep your back straight; think of something good and positive until you relax. Then take a deep breath in with your nose 1-2-3, hold your breath for 1-2 and exhale with your mouth 1-2-3-4-5. At the moment of exhalation, it is recommended to bend your arms at the elbows and, like a bird, hit the chest with “wings”. It is worth repeating such a breathing set of exercises 10-15 times. Three times a day.
For people suffering from angina pectoris, doctors recommend walking every day on foot in the fresh air, mentally imagining oxygen saturation of the myocardium.

Exercise therapy for angina and heart failure

Preventive treatment and further recovery of the body after treatment requires a set of special therapeutic exercises. For coronary artery disease, the following exercises are recommended:

Sit on a chair and lower your arms to the floor. Inhaling air, the arms are raised at an angle of 180 degrees, and exhaling, they are returned to the starting point. Such manipulations with ischemia are advised to be repeated five times.
Sitting on a chair, lock your hands on your belt. Then, alternately unbend one arm after the other and counter them to the starting point, repeating the exercise five times.
For ischemia, place your feet shoulder-width apart. With your arms bent at the elbows, raise them at chest level. In the process of inhaling, open your arms and turn the body to the side. When the patient returns to the starting position, you can exhale. Repeat the exercise four to six times.
If there are problems with running, then a moderate pace of walking is advised for half a minute, and then a fast pace for a minute. During this time, the body will not have time to be very depleted before the onset of acute pain.

Sit on a chair and lock your hands in the lock on your knees. Then gently raise your arms to shoulder level so as to turn your palms in the opposite direction. Repeat the exercise six to eight times in one go.
Sitting on a chair, put your right leg forward and your left leg behind the chair. In this case, it is recommended to rest your hands on the seat. The point is in alternating the position of the legs. Repeat the exercise eight to ten times.
There are also exercises while lying down. In this case, lie on your stomach so that your arms are extended along the body, palms down. Then slowly raise your legs up in any order. The main thing is that the knees are not bent. Do the exercise four to six times on each leg.
You can practice walking with a temporary acceleration for three minutes.
Place your feet shoulder-width apart and your hands on your waist. Perform circular rotations of your head 180 degrees, first in one direction and then in the other direction. It is recommended to repeat such therapeutic manipulations from four to six times in each direction.
Stand near a chair and grab the back with your hands. When inhaling, sit down, and when leaving, stand at the starting point. Repeat the exercise four to six times.

Always prioritize exercise and exercise that is enjoyable. Doing such a therapeutic exercise, and even going in for sports, must be in a good mood and with positive thoughts. Only then will exercise therapy for coronary artery disease go for the future.

If you live in a multi-storey building, walking up the stairs can be a good start to your physical activity. In this case, you should not abruptly climb to the ninth floor, losing consciousness. Gradually, as you increase the floor, do small "feats". And without realizing it, you will notice how you go home without an elevator.
For a gradual increase in physical activity, getting to work, go to the bus stop earlier. This is especially important for those people who work in the office while sitting at a computer and are prone to the development of physical inactivity.
If walking alone is only boring, buy a small dog. It is more fun to walk with her, and you will regularly go out into the fresh air. At the same time, no one says that you need to run after your pet in the park at breakneck speed. Calm and easy walking outside is always good.

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As a rule, it is impossible to get rid of the hereditary predisposition of the body to the disease. But it is entirely within your power to avoid another etiology. First of all, it is the abuse of alcoholic, psychotropic and narcotic drugs; smoking; stressful condition; violation of the normal metabolism, which caused an improper diet; overwork in a chronic form, physical inactivity.

Terms: Physical inactivity is a weakened muscle condition caused by a sedentary lifestyle.

What are the benefits of physical activity (exercise) for angina pectoris and coronary artery disease?

regular repetition of physical exercises will allow you to constantly keep your muscles in good shape;
physical activity leads to an increase in "useful" blood lipids and prevents atherosclerosis;
the likelihood of blood clots decreases;
general well-being and positive attitude improves;
reduces body weight and prevents the appearance of diabetes mellitus and much more.

Angina and sports

Respiratory gymnastics for angina pectoris

Sit on a chair; keep your back straight; think of something good and positive until you relax. Then take a deep breath in with your nose for 1-2-3, hold your breath for 1-2 and exhale with your mouth for. At the moment of exhalation, it is recommended to bend your arms at the elbows and, like a bird, hit the chest with “wings”. It is worth repeating such a breathing set of exercises once. Three times a day.
For people suffering from angina pectoris, doctors recommend walking every day on foot in the fresh air, mentally imagining oxygen saturation of the myocardium.

Exercise therapy for angina and heart failure

Preventive treatment and further recovery of the body after treatment requires a set of special therapeutic exercises. For coronary artery disease, the following exercises are recommended:

Sit on a chair and lower your arms to the floor. Inhaling air, the arms are raised at an angle of 180 degrees, and exhaling, they are returned to the starting point. Such manipulations with ischemia are advised to be repeated five times.
Sitting on a chair, lock your hands on your belt. Then, alternately unbend one arm after the other and counter them to the starting point, repeating the exercise five times.
For ischemia, place your feet shoulder-width apart. With your arms bent at the elbows, raise them at chest level. In the process of inhaling, open your arms and turn the body to the side. When the patient returns to the starting position, you can exhale. Repeat the exercise four to six times.
If there are problems with running, then a moderate pace of walking is advised for half a minute, and then a fast pace for a minute. During this time, the body will not have time to be very depleted before the onset of acute pain.

Sit on a chair and lock your hands in the lock on your knees. Then gently raise your arms to shoulder level so as to turn your palms in the opposite direction. Repeat the exercise six to eight times in one go.
Sitting on a chair, put your right leg forward and your left leg behind the chair. In this case, it is recommended to rest your hands on the seat. The point is in alternating the position of the legs. Repeat the exercise eight to ten times.
There are also exercises while lying down. In this case, lie on your stomach so that your arms are extended along the body, palms down. Then slowly raise your legs up in any order. The main thing is that the knees are not bent. Do the exercise four to six times on each leg.
You can practice walking with a temporary acceleration for three minutes.
Place your feet shoulder-width apart and your hands on your waist. Perform circular rotations of your head 180 degrees, first in one direction and then in the other direction. It is recommended to repeat such therapeutic manipulations from four to six times in each direction.
Stand near a chair and grab the back with your hands. When inhaling, sit down, and when leaving, stand at the starting point. Repeat the exercise four to six times.

Always prioritize exercise and exercise that is enjoyable. Doing such a therapeutic exercise, and even going in for sports, must be in a good mood and with positive thoughts. Only then will exercise therapy for coronary artery disease go for the future.

If you live in a multi-storey building, walking up the stairs can be a good start to your physical activity. In this case, you should not abruptly climb to the ninth floor, losing consciousness. Gradually, as you increase the floor, do small "feats". And without realizing it, you will notice how you go home without an elevator.
For a gradual increase in physical activity, getting to work, go to the bus stop earlier. This is especially important for those people who work in the office while sitting at a computer and are prone to the development of physical inactivity.
If walking alone is only boring, buy a small dog. It is more fun to walk with her, and you will regularly go out into the fresh air. At the same time, no one says that you need to run after your pet in the park at breakneck speed. Calm and easy walking outside is always good.

How much pressure does the load increase?

Sport is a positive stress for the body. Changes in human pressure during physical activity are very common, due to the characteristics of the body and the preferred sport. Exercise stimulates the release of adrenaline, which plays an important role in a person's adaptation to environmental factors. Systematic sports activities help to strengthen the vascular wall, stabilize breathing, and also increase the saturation of tissues with useful substances and oxygen.

The reasons for the increase in blood pressure during exercise

An increase in the concentration of adrenaline in the blood is associated with the activation of the sympathetic link of the nervous system. During exercise, breathing becomes more frequent, and the circulation of fluid in the body improves. This requires additional costs from the body. Blood pressure often rises in everyday life - when lifting weights, walking for a long time, and also in case of nervous tension.

The following body systems are involved in increasing blood pressure:

cardiovascular - the blood moves faster, saturating the tissues with useful substances, the tone of the arteries and veins improves;
respiratory - the lungs expand and fill with air, the internal organs receive more oxygen;
humoral - the metabolism in the body is accelerated, the synthesis of some hormones increases, and muscle mass increases.

In trained people, whose activities involve playing sports or other types of physical activity, changes in hemodynamic parameters during and after the exercises done may not be observed at all. The important thing is how long it takes for the increased rates to return to normal. If they persist for several hours, this may indicate hypertension.

Why does blood pressure rise after exercise?

A physically weak body reacts to new exercises with a short-term increase in blood pressure. An increase of 15–20 mm Hg. Art. within an hour is a variant of the norm. Long-term preservation of high rates indicates hidden problems of the vascular system. Arterial hypertension at the initial stage is observed only in stressful situations, not manifesting itself in a calm environment.

If high pressure occurs during exercise, and within an hour the blood pressure indicators have not returned to normal, a person may experience:

dizziness, accompanied by redness of the eyes, flickering "flies" in the field of vision, nausea and vomiting;
pain in the heart of a aching, constricting character, up to an attack of angina pectoris due to spasm of the coronary vessels;
lethargy and lethargy, numbness of the extremities, as well as impaired diction may indicate ischemia of the brain tissue;
external signs - facial flushing, excessive sweating, constant shortness of breath, sudden attacks of coughing.

It is more difficult to deal with hypertension caused by one of the options for physical labor than with the usual increase in blood pressure. Stabilization of hemodynamic parameters depends on the individual characteristics of the organism. People who are prone to vascular diseases should carry a pill that normalizes blood pressure with them and carefully monitor their well-being when performing new exercises.

Causes of pressure reduction during exercise

The regulation of vascular tone is carried out with the help of the sympathetic and parasympathetic links of the nervous system. In people with sympathicotonia, blood pressure rises in stressful situations. The predominance of the parasympathetic nervous system is one of the factors in the development of hypotension, which is worth remembering when performing sports exercises.

Lead to a decrease in blood pressure:

hypotensive type of vegetative-vascular dystonia;
inconsistency of the selected set of exercises with the physical capabilities of a person;
depletion of the body's resources (vitamin deficiency, overwork);
heart defects, mitral valve prolapse;
a history of angina attacks.

If blood pressure decreases only during exercise and quickly returns to normal values within an hour after exercise, this may indicate asthenia. Poor diet, a sedentary lifestyle, being overweight, and a past lack of exercise make the body particularly vulnerable. Thoughtful training with a predominance of a dynamic component will help the body to strengthen.

Why does blood pressure drop after exercise?

Many people complain of weakness and dizziness after exercise. Providing good rest, their condition quickly returns to normal. If low blood pressure persists for a long time after exercise, this may indicate a decrease in vascular tone, which leads to VSD and persistent hypotension.

Decrease in indicators by 10–20 mm Hg. Art. characterized by:

dizziness, drowsiness;
severe weakness;
blurred eyes, blurred vision;
chest pain;
feeling of lack of oxygen.

Drop in blood pressure to 90 to 60 mm Hg. Art. and below can lead to unexpected loss of consciousness. In order to prevent the development of collapse, you need to be careful about your condition during training. For hypotonic people, walking, exercise therapy and swimming are best suited to strengthen the vascular system.

Control of hemodynamic parameters

Even experienced athletes with high endurance need to control their condition during training. Before the first lesson, it is recommended to visit a doctor who should assess the level of blood pressure, pulse tension, respiratory rate and then give recommendations about the desired sport.

To improve the state of the circulatory system during exercise, you need:

ensure sufficient heat dissipation through quality clothing (the right size for the season);
measure blood pressure 20 minutes before training and 10 minutes after each exercise;
choose professionally equipped premises with good ventilation and lack of near production facilities;
drink enough clean water (at least 2 liters daily).

Those wishing to play sports should remember about proper nutrition. Love for fatty and fried foods, as well as alcohol abuse, negatively affects the state of blood vessels. It is worth limiting the amount of coffee and black tea you drink. To improve vascular tone, more foods containing K and Mg should be included in the diet.

Pressure rates at loads and after

In medical practice, for many centuries, the indicator of normal blood pressure was set at 120/80 mm Hg. Art. Sports exercises, which are positive stress for the body, can lead to a slight increase in blood pressure. The indicators that are optimal for a particular person are called "workers". If a person feels good, having indicators of 100/70, this is not a cause for concern.

Normal blood pressure depends on a person's gender:

for men 18-50 years old - / 80-85 mm Hg. Art .;
for women 18-50 years old - / 80-85 mm Hg. Art .;
the figure is 140/90 mm Hg. Art. is the boundary indicating the development of arterial hypertension.

During intense sports, the pressure of a previously untrained person under load can increase by 15-25 mm Hg. Art. Normally, the indicators should return to "working" in half an hour. Persistence of elevated blood pressure for several hours indicates hypertension. The first stage of hypertension implies indicators of 140-159 / 90-99 mm Hg. Art. and allows light loads if the recommendations are followed. The transition of the disease to the second and third stages is a serious obstacle to sports.

Contraindications for physical activity

It is better to refrain from intense exercise during the period of exacerbation of chronic diseases, with severe heart pathologies, as well as in the case of an alleged pregnancy.

Physical activity should be abandoned for people suffering from:

frequent sudden changes in pressure in everyday life;
thrombosis of the vessels of the lower extremities;
violation of cerebral circulation.

If the pressure has not returned to normal after half an hour, you should think about other types of physical activity. In case of a sharp deterioration in the condition that has arisen against the background of physical activity, sports should be temporarily discontinued.

Medicines for hypertension: what they are

Hypertension is a persistent increase in blood pressure: systolic "upper" pressure> 140 mm Hg. and / or diastolic "bottom" pressure> 90 mmHg. The main word here is “sustainable”. Hypertension cannot be diagnosed on the basis of a single random blood pressure measurement. Such measurements should be taken at least 3-4 on different days, and each time the blood pressure is increased. If, nevertheless, you have been diagnosed with arterial hypertension, then you will most likely need to take pills for pressure.

These are drugs that lower blood pressure and relieve symptoms - headaches, flies before the eyes, nosebleeds, etc. But the main goal of taking drugs for hypertension is to reduce the risk of heart attack, stroke, kidney failure and other complications.

Coronary heart disease

It has been proven that pressure pills, which come in 5 main classes, significantly improve cardiovascular and renal prognosis. In practice, this means that taking medication gives a delay of several years in the development of complications. Such an effect will be only if the hypertensive person takes his pills regularly (every day), even when he has no pain and his state of health is normal. What are the 5 main classes of drugs for hypertension - detailed below.

What is important to know about medicines for hypertension:

If the “upper” systolic blood pressure is> 160 mm Hg, then you should immediately start taking one or more medications to lower it. Because with such high blood pressure, there is an extremely high risk of heart attack, stroke, kidney and vision complications.
More or less safe pressure is considered to be 140/90 or lower, and for diabetics 130/85 or lower. To reduce the pressure to this level, you usually have to take more than one drug, but several at once.
It is more convenient to take not 2-3 tablets for pressure, but a single tablet, which contains 2-3 active ingredients. A good doctor is one who understands this and tries to prescribe combined pills, and not separately.
Treatment of hypertension should be started with one or more drugs in small doses. If in days it turns out that it does not help enough, then it is better not to increase the dosage, but add other drugs. Taking pressure pills in maximum doses is a dead-end path. Check out the article "Causes of Hypertension and How to Eliminate Them." Follow the recommendations that are outlined in it, and do not just bring down the pressure with pills.
It is advisable to be treated with pressure pills, which are sufficient to take once a day. Most modern drugs are just that. They are called long-acting hypertension medications.
Medicines that lower blood pressure prolong life even for older people aged 80 and over. This has been proven by the results of long-term international studies involving thousands of elderly patients with hypertension. Pressure pills definitely do not cause senile dementia, or even inhibit its development. Moreover, it is worth taking medications for hypertension in middle age, so that a sudden heart attack or stroke does not happen.
Medication for hypertension must be taken continuously, every day. Unauthorized breaks are prohibited. Take the antihypertensive pill that you are prescribed, even on days when you are feeling well and your blood pressure is normal.

The pharmacy sells up to hundreds of different types of pressure pills. They are divided into several large groups, depending on their chemical composition and the effect on the patient's body. Each group of drugs for hypertension has its own characteristics. To choose which pills to prescribe, the doctor examines the patient's test data, as well as the presence of concomitant diseases, in addition to high blood pressure. After that, he makes a responsible decision: what medicine for hypertension and in what dosage to prescribe to the patient. The doctor also takes into account the patient's age. For more details, read the article “What medicines for hypertension are prescribed for the elderly”.

Advertisements often promise that your life will become just “candy” as soon as you start taking this or that new antihypertensive (blood pressure lowering) drug. But in reality, everything is not that simple. Because all "chemical" drugs for hypertension have side effects, more or less severe. Only natural vitamins and minerals that normalize blood pressure can boast of a complete absence of side effects.

Proven Effective and Cost-Effective Blood Pressure Supplements:

Source Naturals Magnesium + Vitamin B6
Taurine by Jarrow Formulas
Fish Oil from Now Foods.

Read more about the technique in the article "Treatment of hypertension without drugs". How to order hypertension supplements from the USA - download instructions. Bring your blood pressure back to normal without the harmful side effects that chemical pills cause. Improve heart function. Become calmer, relieve anxiety, sleep like a child at night. Magnesium with vitamin B6 works wonders for hypertension. You will have excellent health, to the envy of your peers.

Below we will discuss in detail what groups of drugs for hypertension exist and in which cases drugs from a particular group are prescribed to patients. After that, you can read individual detailed articles about the specific pressure pills you are interested in. You and your doctor may decide that it is best to change your antihypertensive (blood pressure lowering) medication, i.e. start taking a drug of a different class. If you are savvy in the question of what drugs are for hypertension, you will be able to ask competent questions to your doctor. In any case, if you are well versed in medicines and the reasons why they were prescribed to you, it will be easier for you to take them.

Indications for prescribing drugs for hypertension

Medicines for hypertension are prescribed by the doctor to the patient if the risk of complications exceeds the risk of side effects:

Blood pressure> 160/100 mm. rt. Art .;
Blood pressure> 140/90 mm. rt. Art. + the patient has 3 or more risk factors for complications of hypertension;
Blood pressure> 130/85 mm. rt. Art. + diabetes mellitus or cerebrovascular accident, or ischemic heart disease, or renal failure, or severe retinopathy (damage to the retina).

Diuretic drugs (diuretics);
Beta blockers;
Calcium antagonists;
Vasodilators;
Angiotensin-1 converting enzyme (ACE inhibitor) inhibitors;
Angiotensin II receptor blockers (sartans).

When prescribing a drug for hypertension to a patient, the physician should give preference to drugs belonging to the groups listed in this note. Hypertension pills from these groups not only normalize blood pressure, but also reduce the overall mortality of patients and prevent the development of complications. Each of the groups of pills that lower blood pressure has its own special mechanism of action, its indications, contraindications and side effects.

Features of exercise therapy for ischemic heart disease

Exercise therapy in IHD not only normalizes the functions of the cardiovascular, respiratory and other systems, but also contributes to the adaptation of the body to the effects of external factors: climatic conditions, stress, etc. Exercise therapy for ischemic heart disease is developed depending on the group of the disease.

Group I includes people with angina pectoris without myocardial infarction.
Group II - people who have suffered a heart attack with acquired cardiosclerosis.
Group III - postinfarction left ventricular aneurysm.

The load during physical therapy is determined depending on the severity of the disease, which can also be conditionally divided into categories:

Stage I (initial) - with coronary insufficiency, no symptoms appear.
Stage II (typical) - coronary insufficiency has certain signs during physical exertion, for example, brisk walking, climbing stairs, or during emotional breakdowns.
Stage III (pronounced) - the clinical picture is pronounced even in a calm state.

Who can do what?

Patients of the first group, that is, who have not suffered a myocardial infarction, can do exercises, involving all muscle groups. Breathing exercises of a dynamic nature. Exercises are calculated in minutes.

People who have had myocardial infarction with cardiosclerosis should exercise slowly and engage small and medium muscle groups. Breathing exercises should be alternated with rest. When measuring the pulse, it can be increased by only 10%. The duration of the exercise is a minute.

Patients from group III are at risk, so exercise should be limited due to the possibility of thromboembolism. They are performed with incomplete amplitude, where small and medium muscle groups are involved. After completing 2-3 exercises, the patient should pause for rest. Exercise takes a minute. If the condition worsened, tachycardia, renal-hepatic failure is observed, shortness of breath or pain in the heart appears, exercise therapy should be stopped immediately in case of ischemic heart disease.

An approximate set of exercises in a post-infarction state in the first period

Exercises alternate with breathing exercises:

Lying on the floor, arms and legs apart, fingers and toes should be bent alternately. After several such exercises, move on to simultaneously bending the fingers and toes. In this case, breathing should be even. Everything is done slowly up to 6 times.
Lying in the same way, arms and legs apart, perform breathing exercises. Inhale freely, then exhale. Repeat 3 times.
From the same position, the legs are spread to the sides, the exercise is done with socks, first they move to the outside, then they turn inward. The pace for this exercise is average, breathing is even.
In the same position, raise your shoulders - inhale, lower - exhale. Repeat 3 times. Breathing is even.
Lying in the starting position, raise your arms at the elbows and legs at the knees, make circular movements with your hand from the elbow and legs from the knee. In the early days, the arms and legs do the exercise alternately, later everything is done simultaneously with the arms and legs. Such actions are carried out 2-6 times. The pace is slightly more intense than the slow one. Breathing is even.
The position of the body is the same, the legs are bent at the knees, tear the hip joint off the floor and inhale, lower it - exhale. Repeat 3 times. In this case, breathing is not disturbed.
Lying, bend your legs at the knees and alternately lower them to the right and then to the left. Each tilt is done 2 times. Slow breathing, average exercise pace.
Lying in the same position, spread your knees in different directions - inhale, close - exhale. Repeat 2-3 times, exercise tempo is medium.

Gymnastics is carried out up to 20 minutes on average 3-4 times a day. If the cardiogram gives good results, then over time it will be possible to increase such exercises up to 10 times a day.

Put on physiotherapy exercises, you can proceed to the next stage, when a person can already make turns to the right side and independently climb the stairs. The development of motor functions begins. This is done so that the heart rhythm is not disturbed, shortness of breath and heart pains do not appear. Light exercises are performed in order to teach the patient to sit, get up, climb stairs, etc.

Classes are aimed at the work of large and medium joints - shoulder and hip. A stick and a rubber ball are used. Exercises focus on coordination, balance and attention. Walking should involve 10 to 100 steps. In this case, you should often rest.

Physiotherapy exercises are done in a sitting or standing position. One breathing is performed every two special exercises. Carrying out time - 40 minutes a day 3-4 times.

After a person begins to move independently, the third period of rehabilitation and physiotherapy exercises begins. At this time, the cardiovascular system and respiration are trained. The emphasis is on walking. At first, it is made on a flat surface, in the future it is worth making descents about ascents. Initially, you should walk up to 500 m, and rest every 5 minutes. You should get 60 steps per minute. Every day, we should increase the distance and so bring it up to a kilometer.

In the future, under the supervision of a doctor, you can hike up to 2 km. These classes are held in a polyclinic or in a sanatorium.

After exercise therapy for ischemic heart disease within the framework of a medical institution has ended, it is necessary to continue classes at home. In this case, an examination should be carried out 2 times a month.

Only after a year can you do more complex types of gymnastics and other exercises, go skiing, ride a bike or visit gyms. But this should only be done with the permission of a doctor.

It is worth remembering that physical activity should be evenly distributed.

Treatment activities in addition to exercise therapy

Health food. Patients with coronary heart disease are advised to include in the diet without fail honey, nuts, dried apricots, raisins, soy products, dairy products, lemons, pumpkin and pumpkin seeds, rose hips.

With increased body weight, fatty meats, margarine, butter should be excluded. Replace animal fats with vegetable ones. This is done in order to lower blood cholesterol. Food should be rich in vitamins and minerals.

Medications. A patient with coronary artery disease must take two main groups of drugs:

Containing nitroglycerin and long acting derivatives. They are needed to relieve spasm in the coronary vessels in order to facilitate the access of oxygen to the heart muscle.
Medicines that improve the composition of the blood, reduce blood clotting to prevent blood clots (such as aspirin).

In addition, it is possible to use drugs to lower blood cholesterol and drugs that accelerate metabolic processes in the body.

It will be useful to prescribe vitamins, especially E, P and ascorbic acid. It is not worth reminding that the treatment should be strictly prescribed by the attending physician.

Physiotherapy for ischemic heart disease

Physiotherapy procedures are very important during the recovery period. They are selected by a physiotherapist.

Balneotherapy involves taking therapeutic baths - radon, carbon dioxide, iodine-bromine, chloride. There may be contraindications to such a procedure, it is pain syndrome, persistent angina pectoris, arrhythmia, hypertension. If the patient has more pronounced angina pectoris, then a sparing method is used in the form of four-chamber baths.

Methods of electrosleep, galvanic collar, electrophoresis with analgesics and sedatives are also used. Recently, a new method of physiotherapy has appeared - laser therapy.

Rehabilitation should take place gradually and only under the supervision of a physician. Ischemic heart disease and angina pectoris can only recede if you follow all the recommendations and take care of your body.

A set of exercise therapy for angina pectoris

Exercise therapy and massage for angina pectoris

Angina pectoris (angina pectoris) is a pathology of the neurohumoral apparatus that regulates blood circulation. The disease occurs due to overload of various kinds, chronic stress, short-term negative emotions, overeating at night, exposure to cold, wind.

The main directions of therapy. IN attack prescribed: bed rest, vasodilating and sedative drugs, diet therapy. Outside attack- dosed motor regimen, exercise therapy and massage.

Physical exercise expand the vessels that feed the myocardium, improve its contractile function. They also calm the central nervous system by removing pathological impulses. Exercise therapy is carried out 2-3 years after an attack of pain according to an individual method in the starting position, the least painful, in the form of elementary exercises for arms and legs and breathing exercises. The load is especially carefully given for angina pectoris at rest, since in this case the cardiac vessels are affected by atherosclerosis, they are inelastic. If there is no deterioration in the patient's condition, then more complex gymnastic exercises using apparatus, walking with lengthening the distance and changing the terrain should be included.

Massage very useful, as it helps to relieve a painful attack, psychoemotional stress, increase microcirculation, and prevent heart attacks. Massage of the collar area, back (to the lower corners of the shoulder blades), chest is performed. Stroking, rubbing and kneading is applied. In the area of the heart, vibration is carried out with the palmar surface of the entire hand (starting from the sternum, the hand slides to the spine). The position of the patient is sitting. Techniques are excluded: chopping, beating. The upper limbs are also massaged (first the right hand, then the left). The duration of the massage is 5–8 minutes. Course - 10-15 procedures. For prophylactic purposes, 2-3 courses are carried out in the interictal period. Massage has a pronounced analgesic effect for angina pectoris.

An innovative complex of exercise therapy for angina pectoris