FIELD: medicine.
SUBSTANCE: ECG with physical exertion is performed, and when ST segement depression of 1 mm and more and/or angina is detected, a three-week course of shock wave therapy is conducted. At that shock-wave therapy is performed in the mode of 100 pulses with energy density of 0.09 mJ/mm2 per 1 cm2 zone of each segment of the left ventricle. The exposure is provided 3 sessions per week, and on the first week during each of the three sessions, the exposure is exerted from the apical four-chamber position to the basal lower septal segment, basal anterolateral segment; from the apical two-chamber position to the basal lower segment, basal anterior segment; from the apical three-chamber position to the basal lower lateral segment, the basal anterior septal segment; on the second week - from the apical four-chamber position to the middle lower septal segment, middle anterolateral segment; from the apical two-chamber position to the middle lower segment, middle anterior segment; from the apical three-chamber position to the middle lower lateral segment, middle anterior septal segment; in the third week - from the apical four-chamber position to the apical septal segment, apical lateral segment; from the apical two-chamber position to the apical lower segment, the apical anterior segment; from the apical three-chamber position to the apical lateral segment, the apical septal segment.
EFFECT: method allows to reduce the incidence of angina attacks, to increase tolerance to physical activity.
2 ex
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Authors
Dates
2017-12-13—Published
2017-03-02—Filed