[Differential methods of physical training of patients with ischemic heart disease in early periods after aortocoronary bypass and their effect on the indicators of central hemodynamics].

Seventy two patients with coronary heart disease who had undergone aortocoronary bypass grafting were followed up. In the early postoperative periods (on day 16) the patients had ergometer exercise testing along with chest massage. In patients with complete myocardial revascularization and without complications, the exercise was 50% of the individual threshold capacity, followed by its correction every 7 days after control bicycle ergometry. In patients with incomplete myocardial revascularization or with intra- and postoperative complications, exercises with steady capacity (50% of the threshold capacity) were performed, by enhancing its exposition in a gradual manner. A course of physical training (15-18 studies 5 times a week) resulted in improvement of the patients' clinical condition, and caused a training effect and positive alterations in central hemodynamic parameters in patients with both hyper- and hypokinetic hemodynamic baselines.