![]() ![]() A lower Robinson index (RI) was registered in the same group of patients. Restenosis was associated with ST-segment deviation in the exercise electrocardiogram. For left main (LM) disease patients 50% of all restenosis diagnoses also were diagnosed early (three to six month after PCI). We established a patient subgroup (22%) with "silent" ischemia (positive exercise test without chest pain), out of whom 41% had restenosis. In half of those patients above restenosis was diagnosed early - three to six months after PCI. Restenosis of coronary arteries in angiography were established in 6.4%. Seventeen percent of patients had chest pain and 13% had significant ST-segment changes in electrocardiogram. Clinical and functional status of patients and risk of restenosis were evaluated and corrections in medications were made. An exercise test was conducted one, three, six and twelve months after PCI. A total of 7,300 patients with CHD were followed-up in one year after PCI. This method has been successfully implemented in diagnostics of restenosis in coronary arteries, a process which pathophysiologically differs from primary atherosclerosis. ![]() Exercise tests are widely used for the evaluation and diagnostics of CHD. This is the first study in Latvia, and provides wide opportunities to evaluate functional status of patients, treatment effectiveness, possible risks and prognosis after PCI. A follow-up programme was developed in the Latvian Centre of Cardiology, which included a stress electrocardiogram for patients after PCI. The clinical course and prognosis of coronary heart disease (CHD) can be modified favourably with percutaneous coronary intervention (PCI) in combination with medication. Recommendations for changing lifestyle and existing habits on movement, rest and eating regimen, stress prevention to ensure the effectiveness of treatment are being developed.Importance of the Exercise Test Follow-up Programme for Patients with Coronary Artery Disease who Underwent Percutaneous Coronary Intervention Each patient is provided with a comprehensive and individual approach. Patients are examined using electrocardiography (ECG), spirography (determination of external respiratory function), laboratory examinations, etc. Consultation with a cardiologistÄuring the first visit, the cardiologist will get acquainted with you, your complaints and the data of previous examinations in order to develop an appropriate diagnostic plan and prescribe further treatment. In addition to complaints about the heart, there are also complaints about other internal organs: pain of various localizations, complaints about the digestive organs (functional dyspepsia, irritable bowel syndrome), etc. With the appropriate course of treatment, it is possible to gradually get rid of these symptoms. In the case of FHD, it is characteristic that the complaints worsen after psycho-emotional stress and are associated with anxiety, depression and other psychopathologies. The most common symptoms of functional heart disease are: shortness of breath, palpitations and pain in the heart area, which are often associated with disorders of the autonomic nervous system, such as vegetative dystonia. Functional heart disease (FHD)įHD belongs to the group of diseases of functional somatic syndromes, which are characterized by complaints of the heart, but are not based on organic heart disease. The most common risk factors for cardiovascular disease are: malnutrition, poor weight, insufficient physical activity, high daily stress, high blood pressure, cholesterol, diabetes and alcohol consumption, which over time can lead to serious heart problems. In order to diagnose them, protect themselves from further development of diseases and apply the most effective treatment, a cardiologist's consultation is required. Today's fast-paced lifestyle tends to affect not only our emotional but also our physical health, leading to a variety of cardiovascular diseases. ![]()
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