O.V. Timofeeva
V.A. Groysman
V.N. Chernova
O.S. Vitchenko
E.V. Telenkova
E.A. Ablaeva
Zh.A. Melnikova
A.S. Sorokin |
SHOCK WAVE THERAPY AS A PROMISING TECHNIQUE IN CARDIAC
REHABILITATION |
| Cardiology Department, Municipal Clinical Hospital
No.1, Togliatti, Russia |
Nowadays the onrush of cardiology as a branch of medicine is caused not only
by the breakthrough in science intensive technologies, but also by the growing
society need in adequate influence over pathogenetic processes which invoke
the cardiovascular diseases. In daily practice cardiologists deal mainly with
patients suffering from ischemic heart disease. According to researches the
cardiovascular death rate among people suffering from stenocardia has amounted
to 5,5% among men and to 3,8% among women. The main aim of the medical treatment
for stenocardia is the improvement of life quality by means of the decrease
in coronary pain attacks, decrease of nitrate demand, increase of physical exercises
endurance and prophylaxis of acute myocardial infarction development and cardiac
insufficiency. To achieve a permanent improvement of life quality for
a patient it is not enough to affect the leading section of chronic myocardial
ischemia pathogeny via available methods such as pharmacotherapy, percutaneous
coronary intervention (angioplasty) with stent implantation or coronary artery
bypass graft. The patient is constantly being a subject to medical treatment
with frequent preparation overdosing and repeated invasions of the disease.
All the above mentioned along with adverse reactions to pharmacotherapy and
postoperative complications after invasion methods urge to look for new ways
of treatment for various stenocardia forms. During the Cardiology World Congress
2006 a group of Swiss scientists published the first placebo controlled
trial preliminary results of shock wave therapy for stable stenocardia rehabilitation.
The efficiency of the new treatment method was clearly revealed after
testing it on a group of patients. The main aim of the method is the anginaneogenesis
provocation in cardiac muscle problem areas, which leads to significant
perfusion improvement. It is achieved by low-frequency ultrasound application
according to a definite therapeutic regimen. The results of the therapy
are evaluated in 6 months via clinic laboratory and functional methods and also
via SPECT-imaging. In Russia only scant information on the shock wave therapy
application is available. The new method was implemented since December 2007,
taking into account the world’s positive experience in shock wave therapy
application for patients with ischemic heart disease on the basis of the cardiological
department of Togliatti “Municipal Clinical Hospital No.1” with
assistance of the Swiss specialists. By our Swiss colleagues who were the originators
of the development of shock wave therapy in cardiology the personnel of the
hospital was thought to work with the equipment,. In Russian Federation “Municipal
Clinical Hospital No.1” is among the first to start application
of this new method in clinical practice. Insignificant experience of the
shock wave therapy application in our conditions (by now 12 patients have completed
the course of treatment) allow us to talk about high tolerability of the treatment.
Up to the present moment there was no evidence of recrudescence and the patients
note the positive influence of the treatment. We intent to register the
objective evaluation of the treatment quality after the treatment course completion
in 6 months. We also intent to publish our practical results in medical periodicals
as our Municipal Clinical Hospital No.1 experience in shock wave therapy application
continue to grow. We are convinced that the shock wave therapy method of treating
patients with ischemic heart disease will secure its footing in treatment along
with angioplasty and stent implantation.
