Dosed physical exercise in general has a positive effect on cardiac activity..

What are the effects of physical exercise?.

• the adaptability of the cardiovascular system to physical stress improves (the heart and blood vessels adequately respond to physical stress, while the heart works economically, without excessive heartbeat, excessive increase in blood pressure and a pronounced increase in myocardial oxygen demand - there is no oxygen starvation of the heart muscle,;

• physical activity contributes to the normalization of the patient's body weight and maintaining it at an optimal level;

• regular dosed physical activity normalizes the work of the heart and blood vessels, trains the neurovascular apparatus of the heart, strengthens the heart muscle (myocardial contractility improves, the pulse becomes less frequent, high blood pressure decreases, the tendency of blood vessels to spasm decreases, etc..

• the inclination of blood to increased coagulability, thrombus formation decreases;

• beneficial effect of physical activity on the psycho-emotional state of the patient: he becomes more balanced, calmer, mood improves, vitality increases, etc..

• the heart reacts less to nervous stress, becomes less susceptible to nervous overload;

• the patient's muscular system develops.

Regular dosed physical activity improves the health status of a patient with coronary heart disease (CHD), angina attacks occur much less frequently, they become less severe, appear with more pronounced stress and easily disappear with their decrease.

In trained patients, the risk of developing myocardial infarction (especially large-focal), sudden death decreases. They become active, their well-being, mood improves, self-confidence appears, efficiency increases..

Sometimes, with the help of regular dosed physical training, IHD patients achieve a high level of fitness, they can perform fairly pronounced physical work without chest pain, they do not have severe fatigue and other unpleasant sensations..

But before you start physical training, you must undergo a complete and thorough medical examination.. The doctor will assess the state of health, individual physical capabilities, select the type of load, give recommendations on their intensity, duration and frequency..

Specific recommendations will be given by the attending physician, and we will try to name general recommendations for most patients with coronary heart disease without exacerbation:.

• physical training (including daily morning exercises) must be regular, preferably outdoors;

• it is necessary to start with small loads and gradually increase them (preferably under the supervision of a doctor), avoid exercises that require significant physical effort;

• if an attack of angina pectoris occurs during physical exertion, interruptions in the work of the heart, severe palpitations or severe shortness of breath, you must stop, rest. These are overload phenomena.. The cardiovascular system is not yet prepared for such a big job, it is necessary to temporarily reduce the load;

• the patient should be well aware of his physical condition at the moment; it is very dangerous to cross the threshold of your heart's possibilities;

• it is not recommended to start physical activity immediately after eating, it is better to do it on an empty stomach or not earlier than an hour after eating;

• physical activity should be avoided in the cold, in cold windy or very hot humid weather. Unfavorable weather conditions can provoke angina pectoris;

• if you feel unwell (more frequent angina attacks, increased heart rate, etc.. ) do not start physical activity, if necessary, consult a doctor;

• during physical training, it is necessary to pay attention to the pulse rate and its rhythm, to the appearance of discomfort in the chest, correct breathing (expressed shortness of breath or breath holding is unacceptable), general well-being (appearance of severe fatigue, weakness, dizziness, headaches). If you feel unwell, it is better to stop exercising, tomorrow the load should be less;

• we recommend training in health groups (under the guidance of a coach, under the supervision of a doctor);

• competitions, achievements of some sports results should be avoided;

• physical activity should give pleasure, positive emotions, it is desirable to select appropriate types of exercises. They should not cause severe fatigue, weakness and other unpleasant sensations.. Develop a need for regular physical activity;

• after physical training should not take excessively hot or excessively cold baths;

• dosed walking is very useful. this is one of the best and sufficient means of physical training for most patients with coronary artery disease (walking to and from work, before going to bed, walking in the fresh air are important);

• useful active physical recreation (country walks, excursions, feasible physical labor in the country).

Non-compliance with these recommendations, neglect of the advice of the attending physician, overestimation of physical capabilities, excessive physical activity often lead to exacerbation of coronary heart disease, myocardial infarction, and severe complications of the cardiovascular system..

Dalasyuk R. , Kampat L. , Shevchuk T.

medbe. en.