MEDICAL REHABILITATION OF PATIENTS WITH ARTERIAL HYPERTENSION IN GENERAL MEDICAL PRACTICE

Zhdan V. М., Kitura Ye. M., Babanina М. Yu., Kitura О. Ye., Tkachenko M. V., Kyrian O. A., Ivanytskyi I. V.

LITERATURE REVIEWS

Scentific article

Currently, arterial hypertension (AH) remains the most common non-communicable disease worldwide, regardless of the status of the country or the income level of its citizens. Globally, cardiovascular morbidity and mortality are associated with the above pathology, which is facilitated by the high prevalence of hypertension and the lack of adequate control in a large part of the population. The oncet and clinical course of arterial hypertension are closely related to the presence of risk factors. Medical rehabilitation includes a set of measures that contribute to the transition of the disease to the stage of compensation or its complete elimination. This type of rehabilitation includes drug therapy, physiotherapy, therapeutic exercise, sanatorium-resort treatment. Recommended lifestyle changes that have demonstrated the ability to lower blood pressure are reduced salt intake, moderate alcohol consumption, regular physical exercise, and quitting smoking. The basic antihypertensive therapy includes the main classes of the medications: blockers of the reninangiotensin system (RAS) (angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs)), calcium channel blockers (CCB), thiazide/thiazide-like diuretics (including chlorthalidone and indapamide), B-adrenoblockers (B-AB). The algorithm of medicinal antihypertensive treatment is made according to the latest up-to-date recommendations. Physical rehabilitation of patients with arterial hypertension includes numerous means of active influence on the functional systems of the patient body: therapeutic exercise (TE), occupational therapy, therapeutic massage, physiotherapy. The outpatient stage of physical rehabilitation of hypertensive patients includes three modes of motor activity: partial load motor, partial load training, training motor with the use of a large arsenal of means of active influence on the functional systems of the patient body, namely, therapeutic exercise, occupational therapy, therapeutic massage, physiotherapy. Thus, medical rehabilitation of patients with arterial hypertension requires a comprehensive approach and should include lifestyle changes, drug therapy, and physical rehabilitation methods.

arterial hypertension,rehabilitation,risk factors,antihypertensive drugs,therapeutic exercise.

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«Bulletin of problems biology and medicine» Issue 4 (167), 2022 year, 59-65 pages, index UDK 612.12-008.331.1:615.825

10.29254/2077-4214-2022-4-167-59-65