Laser- and kinesitherapy in the correction of the dimensions and volumes of the left heart with dilated cardiomyopathy

Abstract

Purpose. To assess the effectiveness of laser and kinesiotherapy for correcting size and volume of left heart parts in patients with dilated cardiomyopathy (DCM) under supportive medicamentous therapy. Materials and methods. 100 patients with verifi ed DCM diagnosis were included into the study. All patients had differentiated medicamentous supportive therapy. Not less than in three months after prescribing the differentiated supportive therapy, patients were divided into two groups comparable by sex, age, course of the disease, severity of condition, specifi city of their medicamentous therapy. Patients from Group 1 had intravenous laser blood irradiation and unloading curative gymnastics together with supportive differentiated medication. Patients from Group 2 (control group) continued their differentiated medicamentous therapy. All patients were examined by echocardiography in M- and B-regimens; ECG ; clinical examinations. Results. The data obtained during dynamic follow-up in 1, 3, 6, 9 and 12 months demonstrated a reliable decrease in size and volume of left heart parts and better contractility of the left ventricle in Group 1. In the controls (Group 2), there was no signifi cant positive dynamics; on the contrary, echocardiography indices signifi cantly worsened in 9 and 12 months of follow-up control. These results confi rm fi ndings of numerous studies about low effectiveness of DCM treatment with if this treatment is solely medicamentous one. Conclusion. The developed technique can be used in practical work of GPs and cardiologists to optimize outcomes in patients with DCM.