THE STATE OF CENTRAL HEMODYNAMICS AND COR RECTION OF ARRHYTHMIA IN CORONARY PATIENTS AT THE STAGE OF REHABILITATION

Life expectancy and quality of sanatorium rehabilitation for patients with macrofocal myocardial lesions vary in line with severity of cardi ac arrhythmia and left ventricular dysfunction. 24-h monitoring reveal ed defects in cardiac rhythm and conduction in 44.2% of cases. 42% and 36% of patients had ventricular extrasystole and high-grade Lown-Wolf ectopy, respectively. Supraventricular extrasystole occurred in 7.7%, combined extrasystole in 40% of cases. As to hemodynamics type, hypok inetic, hyperkinetic and eukinetic central hemodynamics were recorded in 63.0%, 5.2%, 31.8% of cases, respectively. Combinations of antiarrh ythmic drugs (kilintin+obsidan, cordaron+disopiramide, cordaron+kinile ntin, kinilentin+verapamil) were selected with consideration of the ba seline type of central hemodynamics. Combined chemotherapy was more ef fective against different kinds of arrhythmia.