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Документ Early cardiac rehabilitation in acute myocardial infarction patients and its features(Полтавський державний медичний університет, 2021) Teslenko, Y. V.; Myakinkova, L. O.; Teslenko, M. M.; Тесленко, Юрій Віталійович; М'якінькова, Людмила Олександрівна; Тесленко, Марина МиколаївнаPatients that have undergone myocardial infarction require inclusion in the treatment program of cardiac rehabilitation as a component of secondary prevention. Rehabilitation potential in patients with myocardial infarction was investigated according to a mathematical model that included indicators of hospital mortality, myocardial reperfusion, anxiety and depression, myocardial contractility, comorbidity and prehospital physical activity. The individual rehabilitation program according to the level of rehabilitation potential contributed to the early expansion of the physical exercise mode to the ward mode in patients of the experimental group for 2.83±0.13 days compared with 3.57±0.14 days in the control group, the baseline heart rate was 73.2±1.72 beats per minute, and 78.4±1.13 beats per minute, respectively. According to the results of submaximal testing, the distance in the experimental group was 694.7±38.4 m, in the control group – 584.2±40.7 m (p˂0.05). Assessment of rehabilitation potential provides determination of optimal terms and methods of cardiac rehabilitation.Документ Peculiarities of diabetes mellitus impact on the effectiveness of cardiac rehabilitation of patients with coronary heart disease after myocardial revascularization(Aluna Publishing, 2023) Teslenko, Yu. V.; Pysana, B. O.; Teslenko, M. M.; Dubrovinska, T. V.; Bilash, S. M.; Lyulka, N. O.; Тесленко, Юрій Віталійович; Писана, Богдана Олександрівна; Тесленко, Марина Миколаївна; Дубровінська, Тетяна Володимирівна; Білаш, Сергій Михайлович; Люлька, Надія ОлександрівнаAim: To investigate the impact of diabetes mellitus on the course of the disease, the quality of rehabilitation measures and the psycho-emotional state of patients. Materials and Methods: The study involved 134 patients, who were divided into four groups depending on the method of revascularization and the presence or absence of diabetes mellitus. The patients underwent a 21-day rehabilitation programme, at the beginning and at the end of which they were assessed for left ventricular ejection fraction, exercise tolerance, maximum oxygen consumption, and treatment adherence. Throughout the study, the patients were under the supervision of a psychologist. Results: The study found that patients with diabetes showed a significant improvement in the measured indicators, but to a lesser extent than patients without diabetes. Conclusions: The mechanisms of poorer outcomes in patients with diabetes are mostly related to psycho-emotional factors as a result of the diagnosed disease, but they require further study.