Modern views on cardiovascular diseases in individuals after cholecystectomy as a prerequisite for the substantiation and development of a physical rehabilitation program
DOI:
https://doi.org/10.12775/JEHS.2017.02.071Keywords
cholecystitis, cholecystectomy, lipid profile, rehabilitation, cardiac rehabilitation, cardiovascular risk, quality of life, physical activity, non-alcoholic fatty liver disease, hepatobiliary system, rehabilitation prognosis, prevention, evidence-based medicine, coronary heart disease, arterial hypertension, physical rehabilitationAbstract
Actuality. Gallbladder diseases and cardiovascular diseases have common risk factors. Both have a major impact on the economics of health care systems. There is evidence of an increased risk of cardiovascular disease (CVD) in patients with gallbladder disease and after cholecystectomy (CC).
Objectives of research. To determine the prevalence of CVD morbidity. To analyze the impact of CVD in terms of rehabilitation prognosis of patients after CC. Identify the main strategies of physical rehabilitation to improve the quality of life of people with CVD and CVD risk factors after CC.
Results of research. In Ukraine, CVD is three times more common than in the European Union. Physical activity (PA) and physical exercise (PE) are the main means of preventing CVD. Individuals after CKD are more likely to develop CVD. For post-CVD patients with metabolic syndrome (MS) and existing CVD risk factors, other rehabilitation strategies are needed: pharmacological support, dietary education, smoking cessation, weight control program, blood pressure control, behavioral and psychological management should be used in a coordinated multidisciplinary, long-term approach (from at least 12 months and for life) to help prevent heart disease and improve the quality of life of patients with heart disease.
Conclusions. Cardiac rehabilitation (CR) programs should be used in patients after CC with MS, with existing CVD factors for the prevention of CVD, and with existing comorbidities to reduce mortality and improve quality of life.
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