THE EFFICIENCY OF CARDIAC REHABILITATION TREATMENT OF PATIENTS WHO HAVE SUFFERED FROM ACUTE CORONARY SYNDROME DEPENDING ON SMOKING HABITS ; ЭФФЕКТИВНОСТЬ КАРДИОРЕАБИЛИТАЦИОННОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ ПОСЛЕ ПЕРЕНЕСЕННОГО ОСТРОГО КОРОНАРНОГО СИНДРОМА В ЗАВИСИМОСТИ ОТ СТАТУСА КУРИЛЬЩИКА ; ЕФЕКТИВНІСТЬ КАРДІОРЕАБІЛІТАЦІЙНОГО ЛІКУВАННЯ ПАЦІЄНТІВ ПІСЛЯ ПЕРЕНЕСЕНОГО ГОСТРОГО КОРОНАРНОГО СИНДРОМУ ЗАЛЕЖНО ВІД СТАТУСУ КУРЦЯ

This article provides the results of the research of the metabolic profile and NYHA of the patients, who have suffered from acute coronary syndrome (ACS), on the stage of health-resort cardiac rehabilitation depending on smoking habits. The aim – to investigate the trends in indicators relating to metabolic status and NYHA of patient`s condition, who have suffered from acute coronary syndrome (ACS), on the stage of health-resort cardiac rehabilitation depending on smoking habits. Material and Methods. A total of 62 patients aged 42–78 years (mean age (56.61± 1.4) who have gone through the program of cardiac rehabilitation were examined. The patients were divided into 2 groups: group I – smokers (n=34, mean age (54.94±1.6), and group II – people with ACS who do not have any smoking habits (n=28, mean age (58.64±1.4). The performance of lipid and carbon dioxide exchange and systemic inflammation, as well as physical activity with the help of 6 minute walk test in the first day of cardiac rehabilitation was identified. The program of health-resort treatment included limited therapeutic walk, physical activities (PA), laser therapy on cubital vein along with optimal pharmacological therapy (OPT). Results. At the beginning of rehabilitation program patients in group 1 had significantly bigger average level of total cholesterol, compared to group 2 (5.88±1.17) mmol/L (I) vs. (5.29±0.95) mmol/L (II)), low density lipoprotein cholesterol (LDL-C) (3.95±0.96) (I) vs. (3.64±0.93) mmol/L (II)), level of triglycerides (TG) (3.08±0.51) (I) to (2.67±0.56) mmol/L(II)), atherogenic index of plasma (AIP)) (4.65±1.51) (I) vs. (3.87±1.01)), C-reactive protein (CRP) (5.36±0.55) (I) vs. (4.95±0.43) mg/mL (II)), fibrinogen (FGN) (3.61±0.53) (I) vs. (3.54±0.44) g/L (II)), glycosylated hemoglobin (HbA1c) (6.10±0.36) (I) vs. (5.74±0.30)% (II)), and lower level of high density lipoprotein cholesterol (HDL-C) (1.08±0.22) (I) vs (1.15±0.17) mmol/L(II)).The analysis of indicators that was carried after the program of rehabilitation showed ...