Spa treatment for diseases of the heart and blood vessels. Cardiological sanatoriums Resorts for patients with a heart stimulator
Cardiovascular diseases occupy one of the first places in the world in terms of prevalence. Treatment of cardiac pathologies requires an integrated approach, in which sanatorium-resort therapy and prevention programs occupy one of the main places. The need for such an approach is also due to the fact that today diseases of the heart and coronary vessels are rapidly becoming younger - the first problems and disorders appear in 35-year-olds, and immediately after 40 years of age, monitoring the state of the cardiovascular system and constant treatment and preventive measures become a necessity.
The Victoria sanatorium has created all the necessary conditions for the successful treatment of patients with problems with the heart and blood vessels. The key to effective treatment and recovery is the climate of Central Russia with moderately cold winters and relatively cool summers. The climatic conditions are comfortable for most patients, as they do not require time for acclimatization, and air humidity and average temperatures are familiar to residents of almost all regions of the country.
In addition to beautiful nature and clean air, the Victoria sanatorium has:
- modern diagnostic equipment: for Holter monitoring, ECG, 24-hour blood pressure monitoring, electrocardiogram, ultrasound, laboratory diagnostics;
- a medical facility that meets international standards: the sanatorium has equipment for physiotherapeutic procedures, a swimming pool, therapeutic showers, baths and much more;
- a staff of highly qualified doctors, both general practitioners and highly specialized specialists.
Treatment is carried out by specialist doctors:
- Cardiologist
- Therapist
- Neurologist
Thanks to an integrated approach, the following tasks are solved; in different age groups they have some differences:
30-40 years | 40-50 years | 50-60 years | 60-70 years |
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Main goals |
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Prevention of cardiovascular diseases. Regular observation by a specialist doctor. Developing a regimen of regular dosed physical activity and proper nutrition. Reduced stress levels. |
Systematic prevention of vascular accidents. Annual medical and health courses. Constant supervision by a specialist doctor. Strict adherence to diet and physical activity. Weight correction. |
Correction of pathological changes in the cardiovascular system. Commitment to a healthy lifestyle, in accordance with the physiological characteristics of the body in adulthood. External rejuvenation. Regular medical and health courses. |
Lifestyle correction in connection with past and current diseases of the heart and blood vessels, taking into account the increased risk of coronary accidents. Medical and health courses at least 2 times a year. |
The most common diseases that affect the quality of life and shorten life expectancy are: arterial hypertension, vascular atherosclerosis, heart attacks and strokes.
With age, the body loses strength, and it becomes increasingly difficult for it to cope with the development of chronic diseases. Therefore, along with their comprehensive treatment, we strengthen and rejuvenate the body as a whole, cleansing it of toxins, strengthening it with the help of medical procedures and restoring youth with the help of cosmetic procedures.
To maximize the preservation of the therapeutic effect and long-term remission, specialists at the Victoria sanatorium recommend alternating treatment courses for the specialized disease and the anti-aging program.
In cases where it is mainly necessary to prevent possible cardiovascular disorders, the sanatorium offers to take a treatment course according to a basic sanatorium-resort voucher. This is a lighter option for recovery, which, however, includes a set of effective treatment procedures, diagnostic measures and dosed physical activity.
Indications for treatment according to the profile “Cardiovascular diseases”
- arterial hypertension;
- age over 40 years;
- complaints of periodic pain in the heart area, discomfort in the chest area;
- previous myocardial infarction and surgery on the heart or coronary vessels;
- decreased endurance during physical activity, shortness of breath, increased heart rate;
- periodic attacks of arrhythmia;
- swelling on the face and legs at the end of the working day;
- increased fatigue, attacks of weakness;
- causeless anxiety, dizziness, occasional headache.
Main components of the course:
- A course of physiotherapeutic procedures: laser therapy and ILBI, magnetic therapy, including magnetoturbotron, electrosleep and more. These methods can improve blood quality, normalize the functioning of the nervous system, activate blood microcirculation, slow down the development of atherosclerosis, and relieve spasms in blood vessels.
- Individual or group physical therapy classes, swimming in the pool, exercising in the gym under the guidance of experienced instructors increase the body's endurance, activate blood circulation, and ensure an increased flow of oxygen to the tissues.
- Classic manual and machine massage relaxes muscles, relieves spasms and pain, and speeds up metabolism.
- Balneotherapy. Coniferous, turpentine, iodine-bromine baths, circular showers, Vichy showers and other water procedures increase the tone of the body, strengthen the walls of blood vessels, and normalize the functioning of the heart muscle.
- If necessary, it is possible to carry out intravenous, intramuscular, lymphotropic drug therapy.
- Dosed walking and swimming in the pool.
- Walking in the fresh air improves your emotional background, normalizes blood pressure, and improves your mood.
Expected therapeutic effect:
- blood circulation is activated, blood pressure is normalized, heart rhythm is restored, and the condition of blood vessels improves;
- metabolic processes and tissue nutrition are improved;
- headaches and attacks of dizziness disappear;
- the overall tone of the body increases, mood improves;
- a habit of a healthy lifestyle is formed, weight is reduced, and performance increases.
According to medical statistics, after staying in a sanatorium in patients suffering from cardiovascular diseases:
Despite the undoubted benefits of spa treatment for people suffering from cardiovascular problems, it has a number of contraindications. It is not recommended to go to the sanatorium if:
- heart failure above stage II A;
- recent myocardial infarction;
- hypertension of the 3rd degree;
- serious heart rhythm disturbances.
The advisability of treatment in a cardiac sanatorium is determined by the attending physician based on the severity of the symptoms of the disease, the patient’s medical history and the results of a clinical examination.
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Mytishchi district |
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Tuapse district |
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Evpatoria, resort |
Russia is a country in two parts of the world, a state whose territory covers the sandy Baltic spit and the rocky islands of Chukotka, stretches from the northern Arctic latitudes to the subtropics. Russia has unimaginable wealth - cultural and historical heritage, protected forests and untouched spaces. The elegant streets of St. Petersburg and the architectural monuments of Kaliningrad compete with the architecture of ancient cities - multi-domed churches and merchant houses, and the beaches of the Black Sea coast compete with the northern forests of Karelia and the ridges of the Ural Mountains. Geography Russia is the largest country on our planet by area, occupying 17.1 million square kilometers. The state is located in Eurasia and covers both parts of the continent. About a third of Russia's territory is located in Eastern Europe, and the rest belongs to northern Asia. The Russian shores are washed by the waters of 12 seas belonging to the basins of the Arctic, Atlantic and Pacific oceans, and by the waters of the closed Caspian Sea. Russia lies on large platforms, so its topography is predominantly flat. In the west of the country stretches the undulating Central Russian Plain, separated by the ridge of the Ural Mountains from the Siberian Plateau. In the south of Russia there are the Caucasus mountain systems with the highest point of the country - Mount Elbrus, Sayan and Altai. In the Far East, the peaks of extinct and active volcanoes soar upward. There are about 2.5 million rivers and 3 million lakes in Russia. Most rivers are flat in nature, but there are also turbulent mountain rivers in Russia with rocky, rapids beds. The country's largest rivers are the Ob, Lena, Irtysh, Yenisei and Volga. The lake region of Russia is Karelia, where the largest lakes in Europe are located - Ladoga and Onega; in Eastern Siberia there is the deepest lake on the planet - Baikal. The flora of Russia is a velvet of mosses and lichens in the taiga tundra, coniferous forests encircling the glacial lakes of Karelia, oak forests and birch groves, feather grass and fescue steppes, broad-leaved Far Eastern forests, subtropical flora on the Black Sea coast. Nature protection zones have been created in Russia, there are 42 national parks and 71 nature reserves. Climate The territory of Russia covers several climatic zones: Arctic and subarctic on the shores of the Arctic Ocean and in the northern regions, temperate, subtropical on the Black Sea coast. However, most of the country is characterized by a climate of temperate latitudes: continental, temperate continental, sharply continental and monsoon in the Far East. In general, Russia has a long, snowy and cold winter. Depending on the region, average January temperatures range from 6 to −50 °C. Summer in most of Russia is moderately warm with an average temperature from 1 °C in the northern regions to 25 °C on the Black Sea coast. Time The territory of Russia covers 11 time zones: Kaliningrad time - MSK−1 (UTC+2) Language Official language of Russia: Russian. Subjects of the Russian Federation have the right to establish state and official languages used on an equal basis with Russian. The most common foreign languages in Russia are Ukrainian, Belarusian and German. English is widely used in business and tourism, as a means of international communication, mainly in large cities. Population The population of Russia is 142 million people. About 80% of the population are Russians. In total, representatives of more than 200 nationalities and nationalities live in the country. Currency Official currency: ruble (RUB). Customs regulations Undeclared import and export of currency is limited to an amount equivalent to 10,000USD. Duty-free import of goods for personal consumption is limited - alcohol and cigarettes: a liter of alcohol, up to 50 cigars or cigarillos, or 200 cigarettes, or 250 grams of tobacco, as well as goods and things for personal use: clothing, toiletries, jewelry, photographic and film equipment . Jewelry, artistic and cultural values, works of art, psychotropic and potent medicinal substances, ammunition and weapons are subject to mandatory declaration. Connection In Russia, cellular communication services are provided by more than a hundred operators, the largest of which are the so-called “Big Three” - mobile operators MTS, Megafon and Beeline. The remaining companies have a significantly smaller number of clients and provide services in certain regions. SIM cards from the Big Three operators can be purchased everywhere - in stores, mobile phone stores, and post offices. Russia's telephone code is +7. To call Russia on a mobile phone, dial +7-subscriber number*** Mains voltage Mains voltage 220 volts. Tourism Russia has opportunities for any type of tourism. The rich historical heritage has served to create excursion routes and educational tours, the long Black Sea coast is a traditional region of beach and active recreation, and ski resorts in Russia are rapidly developing. One of the main types of tourism in the country is health tourism. Over the centuries, a system of resort treatment has been developing in Russia - sanatoriums and spa hotels operate on sources of mineral waters, healing mud, and in places with a favorable climate. Traditions/peculiarities. Russia has preserved many customs and traditions that go back centuries. Every spring, in large cities and very small towns they say goodbye to winter on a grand scale - they bake pancakes and burn a straw effigy of Maslenitsa, in the summer in villages they celebrate Ivan Kupala Day, and the main winter holiday is New Year. One of the main features of the Russian people was and remains hospitality, which is most manifested in the feast. A traditional Russian meal includes first, second and third courses - soups and stews, baked poultry or meat, all kinds of baked goods - pies and pies. Dishes of national cuisine are presented in all their richness in restaurants. Daily cabbage soup, roast, sbitni and tinctures are served in the best establishments. Safety The safety of tourists in Russia is ensured by the forces of law and order. Since June 2014, tourist police units began operating in a number of regions, patrolling busy pedestrian streets, squares and parks. In general, Russia is a safe country for tourists. However, to prevent unpleasant incidents, you should adhere to standard safety rules - do not leave personal belongings unattended, do not carry a wallet in the back pocket of your trousers or in an easily accessible place, beware of deserted and unlit places in the dark, do not use the services of unofficial taxi drivers, do not change currency at individuals. Documentation The list of documents required during vacation includes:
If a tourist will relax in a sanatorium-resort institution and receive medical procedures, then a sanatorium-resort book is required, which can be obtained from a general practitioner. Children accompanied by adults must have a birth certificate or passport, medical insurance. Important phone numbers Emergency numbers in Russia:
Tourism The choice of tourist destinations in Russia is wider than anywhere else. The peculiarities of the geographical location and historical development have allowed the formation of resort regions in the country, which are characterized by one or another type of recreation. Beach holiday. There are many resorts in Russia offering a comfortable holiday on the sea coast. The traditional region of beach tourism in our country is the Krasnodar Territory. It is here that the summer capital of Russia is located - Sochi, the famous resorts of Anapa, Gelendzhik, Tuapse, Adler, and the resort of Yeisk, located on the coast of the Azov Sea. Beach holidays are offered by Crimean resorts. Sanatoriums, resort hotels, private and city beaches stretch along the entire coast of the peninsula. The main destinations are Alushta, Evpatoria, Kerch, Koktebel, Saki, Sevastopol, Sudak, Feodosia, Yalta, the villages of Kurortnoye, Nikolaevka, Peschanoe and Shchelkino. Sanatorium treatment carried out in almost all regions of Russia. Sanatoriums, resorts and medical centers operate at sources of mineral waters, healing mud, and in places with favorable climatic conditions. The most famous balneological resorts in the country are Essentuki, Zheleznovodsk, Kislovodsk and Pyatigorsk. Rich traditions of using natural factors have been formed in the Crimea, especially in Saki and Yevpatoria, where the first mud resorts opened. Sanatorium-resort treatment is carried out on the coast of the Krasnodar region, in the Moscow, Ryazan, Kostroma, Ivanovo, Tver and Tula regions, in the Urals. In the northern and northwestern regions of the country there are medical resorts Marcial Waters, Sestroretsk, Svetlogorsk and Zelenogradsk; the largest resort in Siberia is Belokurikha. Excursion tours in Moscow, the Golden Ring of Russia, Pskov, Uglich, Veliky Novgorod, Vologda and Nizhny Novgorod allow travelers to get acquainted with the historical heritage of ancient Russian cities - ancient temples with gilded domes, ancient fortresses and castles, city mansions and merchant houses. Dozens of excursion routes run through the territory of Kazan, St. Petersburg and its environs - Peterhof, Lomonosov and Kronstadt. Educational tourism in Crimea involves visiting royal palaces, nature reserves and cave cities. Ski tourism in Russia is experiencing rapid growth. The country has large mountain systems and modern ski resorts. In the Krasnodar Territory, on the slopes of the Main Caucasus Range, the Krasnaya Polyana resort is located. The level of service and modern infrastructure of Krasnaya Polyana during the Winter Olympic Games were appreciated by tourists and athletes from all over the world. The resort has the most modern equipment, pistes of various levels with a total length of 72 km, ski villages with comfortable hotels. Among the high-mountainous resorts of Russia, ski holidays are offered by the Dombay and Elbrus region complexes, Abzakovo-Bannoye in the Urals. Each of the resorts has the necessary infrastructure and comfortable accommodation conditions. Weekend tours. The most popular destinations for a weekend getaway are the cities of the Moscow region and the outskirts of large cities in different regions of the country. Short stay programs are offered by tourist centers, sanatoriums, spa hotels and hotels. Children's holiday. Traditionally, summer health camps for children are located on the Black Sea coast of the Krasnodar Territory - in Anapa, Gelendzhik, Tuapse and Sochi, in Crimea - in the resorts of Evpatoria and Yalta, in the village of Peschanoye. Children's sanatoriums and camps are available in different regions of the country - Moscow, Kaluga, Leningrad and Rostov regions. Leisure. There are many places in Russia where you can indulge in sports, active pastime, and extreme tourism. Baikal attracts not only with its natural beauty, but also with the possibility of hiking, scuba diving, hunting and fishing, ATV riding, cycling and horseback riding. In the warm season, trekking, horseback riding, and rafting on mountain rivers are organized for tourists at the resorts of the Altai Mountains, Dombay and Krasnaya Polyana. In Crimea there are opportunities for mountaineering and hang gliding, mountain climbing, trekking, horseback riding, diving, and sea fishing. Active recreational activities in the north include sleigh rides, dog sledding and reindeer sledding. Conditions for active activities - hunting, fishing, hiking, cycling and horse riding - are available in Central Russia. Visa To visit the Russian Federation, citizens of most countries require a national visa. Visa-free entry for a period not exceeding 90 days is allowed to citizens of the CIS countries (except Turkmenistan), Abkhazia and South Ossetia, a number of South American countries, and a number of Balkan countries. The basis for obtaining a Russian visa for foreign tourists is an Invitation from the Ministry of Foreign Affairs of the Russian Federation or from a travel company that is included in the Federal Register of Tour Operators, which gives it the right to provide visa support to foreigners. The most famous attractions
Gurzuf
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Suzdal
Uglich
Pereslavl-Zalessky
Rostov
Kostroma
Transport component The transport system of Russia includes aviation, rail, sea and road communications. Air transport. There are 236 airports in Russia, more than 70 of them have international status. The country's largest airports are Domodedovo, Sheremetyevo and Vnukovo in Moscow, Pulkovo Airport in St. Petersburg, Koltsovo in Yekaterinburg and Adler in Sochi. Moscow airports are connected to the capital by high-speed Aeroexpress trains. Russian air carriers operate domestic and international flights. Russian railways serve more than 124,000 km of tracks. Large cities have passenger stations, and small towns have railway stations. Long-distance trains run between cities, and commuter electric trains also operate. The Trans-Siberian railway line runs through the entire country, connecting Moscow and Vladivostok. You can view the schedule of long-distance trains and commuter trains and purchase a ticket on the Russian Railways website http://pass.rzd.ru The total length of Russian highways is 1,000,000 km. By sea transport Intercity and international passenger transportation is carried out. Marine terminals operate in Sochi, St. Petersburg, Murmansk and Nakhodka. Navigation is carried out along rivers and canals. The length of river routes is 200,000 km. Metro available in Moscow, St. Petersburg, Nizhny Novgorod, Kazan, Samara, Yekaterinburg and Novosibirsk. In each of the above cities, the metro has its own characteristics - for example, the capital has the most developed metro network, and the Novosibirsk metro has only 12 stations. Ground transport in Russian cities These are buses, trolleybuses, tram lines and minibuses. The most convenient and accessible way to travel around cities is by buses and minibuses. Every relatively large city has bus terminals or bus stations connected by direct flights to regional centers. Taxi and car rental. There are official and unofficial taxi drivers in Russian cities; it is not recommended to use the services of the latter due to the high risk of being deceived or paying an inflated tariff. Dispatch desks of official taxi companies are usually located in the arrival halls of airports, train stations and bus stations. If you have a driver's license and at least one year of driving experience, you can rent a car. This service is offered by both large international companies Sixt, AVIS and Europcar, as well as small private companies. In most companies, the rental service with return in another city is limited to a small number of settlements or is not provided at all.
* payment in rubles at the Central Bank rate (+ 2%) on the day of booking Information on the conclusion and termination of an insurance contract, the scope of insurance obligations, the actions of the parties upon the occurrence of an insured event, the procedure for paying insurance compensation and other necessary information for the insured tourist are specified in the insurance rules. Recently, there has been a rejuvenation of the age group of people complaining of difficulty breathing and other health conditions, the cause of which is cardiovascular diseases at various stages. Quite often, such diagnoses as coronary heart disease, rheumatic carditis, pulmonary embolism and deep vein thrombosis, peripheral arterial disease are given to patients who have not yet reached the age of thirty. The reason lies in many factors, among which are stressful situations and lack of rest, prolonged physical activity or limited physical activity, excessive, unbalanced and irregular nutrition. If you do not carry out timely treatment of the heart and do not get rid of bad habits, it can lead to myocardial infarction, or stroke, damage to the blood vessels of the brain, with all the ensuing consequences. About the benefits of sanatorium treatment of cardiovascular diseasesTreatment of cardiovascular diseases in sanatoriums is an effective addition to drug treatment. Such sanatoriums offer patients diagnostics, consultation with qualified specialists and a range of therapeutic and health measures. Specialized cardiological resorts and sanatoriums have always been in demand and popular among all segments of the population. Most health resorts are located in picturesque places with a mild climate, healing sea, mountain or forest air, near mineral springs, which, in combination with a set of procedures, provides a powerful therapeutic and healing effect. Successful modern health and recreational approaches include aero- and heliotherapy, mud baths and thalassotherapy, massage, special exercise equipment and hardware physiotherapy. Consult with our specialist, he will recommend you a suitable health resort, where heart and vascular diseases will recede to the beneficial effects of procedures, pristine nature and clean air, where you can gain a positive mood and strength for the whole year. The influence of health resort facilities and additional physiotherapeutic procedures helps to quickly rehabilitate after suffering vascular diseases, stabilize the state of health and prevent exacerbation of cardiovascular pathologies. In addition, sanatoriums for the prevention of cardiovascular diseases are an excellent way to maintain vascular and heart health, relax and gain strength. Sanatoriums for the treatment of the cardiovascular system are recommended after inpatient therapy, surgery as supportive rehabilitation, and also in the presence of the following chronic pathologies:
Sanatoriums are recommended for the prevention of stroke and heart attack; at the stage of recovery after illness (if the patient’s condition is stable). In addition, sanatoriums for the prevention of heart disease will benefit people at risk of CVD:
Sanatoriums are contraindicated in cases of acute CVD, blood disease or exacerbation of chronic pathology, in a life-threatening condition. Also restrictions on sanatorium treatment are:
Elderly people should visit sanatoriums with caution and choose health institutions with the most comfortable weather conditions and a gentle treatment program. Wellness programs in cardiological sanatoriumsAn individual approach to a specific patient in sanatoriums. A treatment program is prescribed only after a thorough examination. The cardiologist takes into account the research results, medical history and general condition of the patient. Treatment procedures are performed under the strict supervision of medical staff. The basis of health-improving and therapeutic methods for the prevention of cardiovascular pathologies are the following physical procedures:
In addition to these procedures, special attention is paid to nutrition. Often an individual menu is prepared for each patient. Some sanatoriums offer buffet-style meals with an abundance of healthy dishes made from organic products (the menu necessarily includes lenten and dietary dishes). In sanatoriums, they monitor the quality of food, so the proposed diet is balanced in terms of the ratio of proteins, fats and carbohydrates, and the caloric content of food is also taken into account.
Spa treatment: prevention of heart attacks and strokesSanatorium-resort treatment in cardiological sanatoriums: – reduces the risk of heart attacks by 7 times in people with coronary heart disease 1 – reduces the risk of myocardial infarction and strokes by 5 times in patients suffering from hypertension 2 – with hyperlipedemia, a higher clinical effect is achieved in the early asymptomatic stages of the disease 3 “ WHO states: cardiovascular diseases are the leading cause of death worldwide. In the Russian Federation, disorders of the circulatory system, the mortality rate from which is 2 times higher than the European average, occupy first place in the structure of primary disability; in terms of the number of cases and duration of temporary disability they are in third place. The main resort factors and methods of resort therapy for the prevention and rehabilitation of diseases of the circulatory system: climatotherapy, balneotherapy with carbon dioxide, hydrogen sulfide and radon waters, hydrotherapy, as well as hardware methods of physiotherapy against the background of adequate drug therapy. Climatic resorts: seaside, mountain, forestThe influence of various climatic factors on cardiac patients, such as sunbathing, sea bathing, and air baths, differs significantly from the adaptation reaction of healthy people. The acclimatization process may be accompanied by a deterioration in well-being: with coronary heart disease, angina attacks may become more frequent or more severe, and in patients with cerebral atherosclerosis, headaches and dizziness may intensify. The first days of your stay at the mountain resort, with a reduced oxygen content in the air, will require a plains resident to mobilize adaptive mechanisms in order to properly supply the body with oxygen. As a rule, symptoms of mountain sickness do not occur when rising to an altitude of up to 2000 m above sea level, however, in cardiac patients, the adverse effects of mountain climate can also manifest themselves in mid-mountain resorts. In Kislovodsk (altitude 800-1200 m above sea level), in the first days you should not go for a walk along the entire route of the health path, limiting yourself to the central part of the Resort Park (altitude up to 1000 m). In the hot climate of southern resorts The body loses heat only through sweating. At high temperatures and high air humidity in the conditions of resorts in the humid subtropics (Sochi), evaporation from the body surface is difficult, which leads to disruption of thermoregulation. In cardiac patients and elderly people, an increase in body temperature, increased respiration and pulse, hyperemia of the skin with a relative decrease in blood supply to internal organs, and thickening of the blood may be observed. These phenomena are especially intensified during muscle load. Solar irradiation increases blood clotting properties with possible thrombus formation in blood vessels and the development of myocardial infarction and cerebral stroke.
The velvet season in the resorts of the South of Russia is preferable due to favorable weather conditions, the possibility of sea swimming and sunbathing, and the abundance of fruits in the diet, which is one of the leading factors in spa treatment for diseases of the circulatory system and metabolic syndrome.
Thalassotherapy has an effect on the cardiovascular system due to a complex of factors: sea water, aerosol of sea water salts, air ions of sea coasts, solar radiation. The totality of physiological changes in the circulatory system in the conditions of seaside resorts indicates an improvement in blood supply and metabolic processes in the myocardium, central hemodynamics, specific vascular resistance and blood pressure are normalized. When swimming in the sea, the influence of thermal, mechanical and chemical factors should be taken into account. Sea water has a stimulating effect similar to that of sodium chloride baths, especially in patients with low blood pressure. When swimming, blood pressure increases and heart rate increases. When swimming calmly for 5-10 minutes after leaving the sea, cardiac indicators normalize within 5 minutes and often improve compared to the initial state. Bathing is always accompanied by an increased emotional state, so the load is easily tolerated and is not subjectively assessed as excessive, however, it can lead to serious complications from the cardiovascular system. It is necessary to take into account the influence of solar radiation, especially its ultraviolet part, which can penetrate water to a depth of 1 m.
(walking along the intended route) is one of the methods of physical training for diseases of the circulatory system. Alternating tension and relaxation during ascents and descents while walking along a path creates favorable conditions for the functioning of the circulatory, respiratory and nervous system. During walks, a person is simultaneously affected by the climate and the surrounding nature, having a hardening effect and a positive effect on the psycho-emotional sphere, which significantly enhances the healing effect of therapeutic walking along health paths. At mountain climatic resorts, for example, Kislovodsk and Zheleznovodsk, health resort routes are prescribed by a health resort doctor.
Hydrotherapy and balneotherapy in a cardiological sanatoriumHydrotherapy in the form of medicinal baths, has proven itself well in the sanatorium-resort treatment of cardiac patients. Short-term cold and hot showers increase the tone of the vascular system. Contrast procedures, directing blood flow either to the skin or deep into the body, improve microcirculation, normalize blood pressure, increase the contractile function of the myocardium, and stimulate all types of metabolism. Baths (mineral and fresh with various additives and gas, full and partial) form the basis of hydrotherapy and balneotherapy in cardiology. All baths, fresh and of different mineral composition, have a thermal and hydrostatic effect. In all cardiac patients (hypertension, coronary artery disease, heart defects without circulatory and heart rhythm disturbances), after baths there is a decrease in heart rate, an increase in stroke index, a decrease in blood pressure and specific peripheral vascular resistance. Hydrostatic pressure, which when taking medicinal baths is calculated within 20-30 cm of water column, can impede the work of the heart due to some compression of the peripheral veins and an effect on the abdominal area. Although this pressure is insignificant, it nevertheless has to be taken into account when prescribing baths for patients with cardiovascular disorders. Therefore, for people with heart disease, baths with immersion under water up to the level of the heart are recommended, and in case of circulatory problems, half-baths.
Contraindications to the use of shared baths are a tendency to dynamic disorders of cerebral and coronary circulation, circulatory failure above stage I B, pronounced phenomena of atherosclerotic cardiosclerosis with chronic coronary insufficiency of the second and third groups, hypertension stage III B, recent myocardial infarction (up to a year) or stroke, severe angina pectoris The gas and mineral composition of mineral waters determine the principles of differentiated choice of resort for diseases of the cardiovascular system. Carbon dioxide baths– one of the most effective methods of balneotherapy and resort treatment in general for diseases of the circulatory system. The effect of carbon dioxide baths is explained by the contrast irritation of the skin by bubbles of carbon dioxide (t° 12 ° C) and warm water, which is called a “gas brush”, which is manifested by an intense expansion of skin capillaries, a decrease in internal body temperature and venous blood. The second mechanism of action is chemical, due to carbon dioxide, which enters the body with inhaled air and through the skin. When taking carbon dioxide baths, peripheral vessels dilate, blood circulation in the vessels of the heart increases, the coronary constricting effect at the level of the central nervous system is suppressed, the contractile function of the myocardium improves, the energy supply of the heart and endurance to physical activity increases, oxygen consumption by the heart muscle decreases, the heart rate slows down, and the arterial pressure. Indications for prescribing carbon dioxide baths for cardiac patients. As a result of complex spa treatment with the use of carbon dioxide baths, attacks of angina disappear or are reduced, a decrease in the sensation of interruptions in the heart at rest and during physical activity, and in case of hypertension, blood pressure decreases. Under the influence of carbon dioxide baths, lipid metabolism increases, the level of cholesterol and low-density lipoproteins in patients with atherosclerosis decreases, and the breakdown of fats and fat-like substances increases. In case of hyperlipedemia without clinical manifestations of atherosclerosis, balneotherapy with carbonic water helps to reduce elevated levels of total cholesterol and reduce body weight. Contraindications: coronary heart disease, angina pectoris III-IV class, mitral heart defects, hyperthyroidism. Dry air carbon dioxide baths have the same beneficial properties as water baths, but are easier to tolerate due to the absence of the loading effect of water on the heart and therefore can be used by more severely ill patients, including those who have suffered a myocardial infarction, in the early phase of rehabilitation in urban balneotherapy hospitals or suburban cardiological sanatoriums . Radon waters have a therapeutic effect due to the alpha radiation of radon. 2.5 hours after the radon procedure, radon is completely eliminated from the body, and after another two hours the daughter products disappear. Radon baths have a hypotensive effect, normalizing the lipolytic enzymatic system, fibrinolytic activity of the blood, and the permeability of blood capillaries. A decrease in peripheral vascular resistance under the influence of radon baths helps to improve the contractile function of the myocardium. As a result of a course of treatment with radon baths, blood pressure decreases, the number of extrasystoles and episodes of “silent” myocardial ischemia decreases. Indications for prescribing radon baths for cardiac patients. Radon baths are used in the treatment of patients suffering from uncomplicated arterial hypertension of the I-II degree, vegetative-vascular dystonia of the hypertensive type, especially against the background of neurosis, hyperthyroidism with arterial hypertension, angina pectoris of I-II functional classes, arrhythmias of low grades, atherosclerosis of cerebral vessels, obliterating endarteritis , postthrombophlebitic syndrome. Radon baths are contraindicated patients with sick sinus syndrome, bradycardia less than 60 beats per minute, slowing of atrioventricular conduction. Sulfide (hydrogen sulfide) waters in terms of their influence on the circulatory system, they occupy one of the first places among all resort medicinal factors. Sulfide water, acting through local mechanisms for regulating vascular tone and through vasomotor centers, causes dilation of skin capillaries and arterioles, increases the number of functioning capillaries, accelerates blood flow in them and the reaction of skin redness, known in Russia as the “Matsestin reaction”. A course of balneotherapy in the form of general and two- and four-chamber hydrogen sulfide baths improves the contractile function of the myocardium, improves hemodynamics, helps reduce hypercholesterolemia and increase lipolytic activity of the blood, has a hypotensive effect in patients with hypertension, and tolerance to physical and orthostatic stress. Hydrogen sulfide baths are shown patients with hypertension, atherosclerosis, coronary heart disease with a fairly high coronary reserve (very rare and mild attacks of angina), with atherosclerotic lesions of peripheral vessels with concomitant diseases of the musculoskeletal system (osteochondrosis of the spine, inflammatory and metabolic diseases of the joints) and the peripheral nervous system . Contraindications to the administration of hydrogen sulfide baths to cardiac patients: coronary heart disease, angina pectoris III FC, heart failure stage II, vegetative-vascular dysfunctions, severe cerebral atherosclerosis, toxic-allergic reactions to hydrogen sulfide, Carbon dioxide-hydrogen sulfide baths(Essentuki, Pyatigorsk) have a beneficial effect on patients with atherosclerosis of the coronary arteries of the heart and blood vessels of the brain, due to the cumulative effect of carbon dioxide and hydrogen sulfide. Sodium chloride (salt) baths have an effect on the body due to mechanical, thermal and chemical actions. The mechanical action is manifested by a buoyancy force, the greater the degree of mineralization of the baths. The heat flow into the body from sodium chloride waters is 1.5 times higher than from fresh water. Absorbed heat expands the superficial vessels of the skin and increases its blood flow by 1.2 times. The chemical effect of sodium chloride waters is realized due to the salt cloak, which irritates skin receptors and increases the flow of afferent impulses entering the brain. The stimulating effect of sodium chloride baths is especially noticeable in patients with low blood pressure, which increases under the influence of baths. Salt baths have a training effect as a result of a favorable restructuring of central and peripheral hemodynamics. The hypotensive effect when using general sodium chloride baths occurs due to a pronounced effect on peripheral vascular resistance. Sodium chloride baths help improve blood circulation, microcirculation and tissue trophism, eliminate blood hypercoagulation and normalize immunological processes. During a course of treatment, there is a decrease in blood viscosity, aggregation and adhesive ability of platelets, and an increase in subcutaneous and muscle blood flow (trace effect). Sodium chloride waters have a training and antiarrhythmic effect on patients with coronary heart disease (CHD) with extrasystole. At the same time, there is an increase in physical performance and coronary heart reserve; reduction in the number of ventricular and supraventricular extrasystoles, manifestations of painful and “silent” myocardial ischemia. An important clinical effect of sodium chloride baths is their ability to normalize vascular tone, especially to increase the tone of peripheral veins. Sodium chloride baths are indicated patients with atherosclerosis in its very initial stage with moderately expressed asthenic syndrome, stage I-II hypertension, arterial hypotension, autonomic-vascular disorders, peripheral vascular diseases. Resorts with sodium chloride waters can be recommended for cardiac patients with concomitant diseases of the musculoskeletal system. Contraindications: water have a more gentle effect on the cardiovascular system compared to other balneological procedures. Iodine, as one of the main components of iodine-bromine baths, has a direct effect on microcirculation processes, elastic properties of the vascular wall, rheological properties of blood, and lipid metabolism. Bromine ions enhance inhibition processes in the cerebral cortex and help restore the disturbed ratio of excitation and inhibition processes, which affects the course of diseases of the cardiovascular system (atherosclerosis, coronary heart disease, hypertension). Iodine-bromide waters cause expansion and increase in the number of capillaries, reduce blood viscosity and accelerate blood flow. The lipotropic effect of iodine bromide waters is more pronounced than that of sodium chloride waters, which is manifested by an improvement in the morphofunctional state of the myocardium and a decrease in the morphological signs of atherosclerosis in the vessels. Iodine-bromine baths have a vasodilating, diuretic and hypotensive effect. A course of use of iodine-bromine baths improves coronary circulation, myocardial contractile function, increases the fibrinolytic activity of the blood suppressed in atherosclerosis, reduces its coagulation properties and the aggregation ability of platelets, which is accompanied by the disappearance of pain in the heart, headaches, insomnia, and an improvement in overall well-being. Indications and contraindications: general for spa treatment in cardiology (see below) Oxygen baths and pearl baths enrich the skin with oxygen, stimulate tissue respiration, improve blood circulation, and activate metabolic processes. have a calming effect, reduce increased general excitability, vascular reactivity and blood pressure. They are relatively easily tolerated by patients and are prescribed to those for whom other balneological procedures (carbon dioxide, hydrogen sulfide and radon baths) are contraindicated due to the state of the cardiovascular system. Scented with the addition of aromatic oils have a positive effect on the function of the cardiovascular system, has a beneficial effect on the course of coronary heart disease, since the components of some essential oils dilate coronary vessels, improve oxygen supply to the heart muscle, and can normalize blood pressure levels. Drinking treatment with mineral waters used to correct lipid metabolism, which is associated with their ability to improve the functional state of the liver, enhance the conversion of cholesterol into bile acids and remove bile into the intestines. With mineral water, biologically active elements (iodine, manganese, zinc, etc.) enter the body, the exchange of which is disrupted in atherosclerosis. Mud therapy used for diseases of peripheral vessels: varicose veins, consequences of thrombophlebitis. Mud enhances peripheral blood circulation, promotes more intense movement of red blood cells, the transfer and release of oxygen, and improves tissue oxygenation and metabolism. Under the influence of mud procedures, coronary circulation improves, myocardial contractility and peripheral resistance change. Cardiovascular diseases are one of the limitations for prescribing therapeutic mud in the form of classical applications. Recently, gentle mud therapy techniques and biologically active preparations of peloids (mud extracts, humisol, etc.) have been increasingly used. All resort prevention and rehabilitation programs in cardiology are compiled individually, taking into account concomitant and concomitant diseases. When prescribing therapeutic exercises for cardiac patients, the level of physical activity, exercise tolerance (based on fitness testing data), and the climatic conditions of the resort are taken into account. Indications for spa treatment for diseases of the circulatory system
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