the main ambassador of the transfer from emergency department to clinic for passing of rehabilitation receive the ECG with loading if earlier for this purpose there were no contraindications. Subsequently (after discharge from clinic) it is desirable that the ECG with loading was received each three months by the district doctor. In a year the frequency of obtaining the ECG with loading needs to be reduced to 1 time a year.
The first ECG with loading, generally is passed during the period from 8 days to 4 weeks after the endured heart attack. For this period the patient has to mobilize the forces so independently to walk along the corridor. But it is influenced considerably by prevalence of a heart attack and a complication which it caused. For example, if after the postponed heart attack at the person the warm rhythm was broken or there was heart failure, then the phase of mobilization will longer last (up to 4 weeks).
It is also useful to learn about biliopankreatichesky shunting
Three decades ago with mobilization after a heart attack arrived much more carefully. Patients had to adhere to a high bed rest for 4 weeks and more. But it was revealed that at a long bed rest of a complication in the form of venous thromboses standing and their consequences developed more often and proceeded in more severe form, than the complications on heart caused by early mobilization.
It is also useful: How to restore an organism after loadings
Need in a koronaroangiografiya (big probe)
Koronaroangiografiya is the only method by which it is possible to define need of aortocoronary shunting or balloon expansion of vessels.
For this purpose or in a hand (under a local anesthesia) enter the thin probe which up to an artery passes to the left ventricle of heart into a groin. Introduction in itself – up to a prick of a local anesthesia – without serious consequences. Under x-ray control directly enter contrast liquid into coronary vessels of heart. At the same time all process is displayed on the screen. Thus, it is possible to see existence of narrowing or full obstruction of vessels and to define the place of obstruction.
This method of inspection began to be applied in medicine about three decades ago, and now it already became usual.
The test with loading and complications
At any medical examination there can be complications. It concerns also the considered methods. But as any surveys are carried out in the presence of at least one experienced physician, seldom arising complications, as a rule, manage to be distinguished at once, and immediately render to the patient the necessary help. After all, it is necessary to recognize that patients with a heart attack in everyday life have physical activity too. Therefore it makes sense to define limit of working capacity under control, than to find out it uncontrolledly.