Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation


ischemic heart disease

How to Cite

Nesterak, R., & Bardashevska, S. (2019). Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation. Galician Medical Journal, 26(3).


The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety.

Materials and Methods. There were examined 135 patients with non-ST-segment elevation myocardial infarction, 60 patients with the use of the conservative treatment and 75 patients who underwent percutaneous coronary intervention. The dynamics of objective indices, adaptation changes and anxiety indices in the groups of patients with traditional treatment and in the groups of patients with suggestive therapy in addition to the traditional rehabilitation measures, were analyzed.

Results. Analyzing the dynamics of adaptive indices, it was determined that in the group of patients with non-ST-segment elevation myocardial infarction, who were performed conservative therapy, the dynamics was less significant, which is related to the general desadaptative syndrome. Changes in the group of patients undergoing percutaneous coronary intervention and suggestive therapy, with a decrease of blood pressure, heart rate, and a decrease in the index of functional changes from 3.78±0.15 points before the intervention up to 2.92±0.13 points after suggestive therapy (p<0.01) were more significant. In all groups of patients, high levels of reactive anxiety were observed at the beginning of treatment. As a result of treatment, a decrease in anxiety was noted, but more pronounced changes were seen in the group with the use of suggestive therapy (p<0.05).

Conclusions. The use of suggestive therapy methods when treating the patients with acute coronary syndrome is an important intervention, that provides a comprehensive approach considering all the components, enhances the patients’ adaptive abilities in the rehabilitation phase, improves the quality and effectiveness of restorative treatment. The use of suggestive therapy at the rehabilitation stage improves the clinical course, reduces anginal manifestations, stabilizes blood pressure and increases exercise tolerance.


Trifonova EA, Chernorai AV, Chumakova IO. The role of attitude to the disease in cardiac patients undergoing vital threat in the formation of the prediction of their mental adaptation to post-hospital period. Psychological Science and Education. 2014;6(4):157-168. [published in Russian] DOI:

Berezin FB. Psikhologicheskaya i psikhofiziologicheskaya adaptatsiya cheloveka. Leningrad: Nauka; c1988. 270p.

Bondar VP, Borisova IS, Nechuy-Veter LP. Opportunities for improving the rehabilitation of persons with disabilities of cardiological profile: Mission of psychologist. Visnyk VDNZU "Ukraiinska medychna stomatolohichna akademiia". 2018;18(61):14-17. [published in Ukrainian]

Pogosova N, Saner H, Pedersen S et al. Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology. Eur J Prev Cardiol. 2015;22(10):1290-306. DOI: [PMid:25059929]

Mampuya WM. Cardiac rehabilitation past, present and future: an overview. Cardiovasc Diagn Ther. 2012 ;2(1):38-49.

Aleksandrov AA. Autotrening: Autogennaya trenirovka. Meditatsiya. Relaksatsiya. Samogipnoz. St. Petersburg: Piter; c2011. 240p.

Kocharyan GS. Autogennaya trenirovka. Zdorovye muzhchiny. 2011;4:32-39.

Apanasenko GL, Savelyeva-Kulik NA. Music therapy: past, present and prospects of the development. Ukrainian Medical Journal. 2012;4:170-173. [published in Russian]

Moroz HZ, Besklinska OZ, Druzi OV, Chernenko IO. Muzykoterapiia - vid davnyny do sohodennia. Therapia. Ukraiinskyi medychnyi visnyk. 2016;5:60-64.

Berezutsky VI, Berezutskaya MS. The possibilities of musical therapy in treatment of arterial hypertension. Ukrainian Journal of Cardiology. 2017;5:105-111. [published in Russian]

Naumenko LYu. Osnovy medyko-sotsialnoii ekspertyzy i reabilitatsii khvorykh ta invalidiv: navchalno-metodychnyi posibnyk. Dnipro. c2017. 336p.

Baevskiy RM, Berseneva AP. Otsenka adaptatsionnykh vozmozhnostey organizma i risk razvitiya zabolevaniy. Moscow: Meditsina; c1997. 235p.

Zemlyanskaya NA, Yashchenko SG. Adaptational potential and its correction in patients with essential hypertension on the stage of sanatorium-resort rehabilitation. Ukraiinskyi medychnyi almanakh. 2011;4(14):49-52. [published in Russian]

Nesterak RV. The role of suggestive therapy in rehabilitation treatment of patients after acute coronary syndrome. Art of Medicine 2019;1(9):89-95. [published in Ukrainian]

Hasiuk MB, Nesterak RV. Metod suhestyvnoii terapii u reabilitatsii khvorykh z ishemichnoiu khvoroboiu sertsia ta infarktu miokarda v umovakh statsionaru. Psychology and Society. 2019;1(75):101-108.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.