RU2033142C1 - Method for treatment of ischemic heart disease - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves massaging the zones selected in accordance with location of the damaged center and applying external pain by alternating pressure with a force inducing pain though not exceeding the maximum pain tolerance limit for 1-3 s from 1 to 5 times at a local straining of muscles in the massaging zone with simultaneous breath holding. Method is simple, requires no additional methods of treatment, brings about no complications and can be administered both in hospital and to outpatients. EFFECT: higher efficiency.

Description

 The invention relates to medicine, namely to cardiology, and can be used to treat coronary heart disease (CHD) and its complications, including post-infarction conditions.

 Known drug treatment of coronary heart disease, in which the following groups of drugs are most widely used: nitrates, β-blockers, calcium blockers and antiplatelet agents, which are prescribed for use as separate courses, and for life [1,2] The disadvantage of these methods is in their low efficiency. The patient is "dependent" on drugs physically and psychologically, in addition, medications cause side complications from other organs and systems.

 The use of drug therapy does not prevent recurrent myocardial infarction and does not relieve patients from manifestations of coronary insufficiency. In this regard, the search for methods of preventing repeated heart attacks, as well as ways to reduce the manifestations of coronary insufficiency, continues. As a result of this, the wider introduction into clinical practice of surgical methods for the treatment of IHD. However, they do not give the desired results.

 A known method of treating coronary heart disease with acupuncture [3] However, this method is contraindicated after a heart attack.

The closest is a method of treating coronary heart disease, including massage, depending on the period of the disease, various areas: the collar zone of the heart, legs, back, various techniques, such as stroking, rubbing, labile vibration, etc. [4]
However, this method to improve its effectiveness requires a combination of various treatment methods, including hardware-based physiotherapy.

 The proposed method of treatment is an independent method that cannot be combined with any other types of treatment.

 The objective of the invention is the creation of a drug-free method for the treatment of such a complex disease as coronary heart disease and its complicated forms, using internal hidden reserves of the body.

 This is achieved by the fact that in the method of treating heart diseases they affect biologically active zones associated with the work of pathological departments of the heart, external pain exposure (VBI), successively alternating pressure with an effort of not less than the force causing the appearance of the pain syndrome, and not more than the maximum pain tolerance level patient, for which the latter is placed on the stomach and as biologically active zones use the paravertebral and interspinous zones of the cervicothoracic spine, as well as the intercostal space n zones of the left side of the body from the back, shoulder-shoulder zones and zones on the left hand along the meridian of the heart, with each effect being carried out for 1-3 seconds from 1 to 5 times, with local muscle tension by the patient in response to pain with simultaneous holding him his breath, the procedures are carried out every other day, monitoring the patient's condition. This is an incomplete cardiocomplex.

 In the pathology of the atria, interventricular septum, the apex of the heart and the right ventricle after exposure from the back of the patient, they are additionally placed on the back and are subjected to alternating pressure with the same level of effort on the front sections of the chest along the central line, parasternal zones and intercostal spaces on the left. In this case, they talk about a complete cardiocomplex.

 The method is as follows.

 Before starting treatment, a thorough medical history and complaints are collected, the following examination methods are used: electrographic examination (ECG), ultrasound (ultrasound), blood pressure (BP), and if necessary, laboratory blood tests (cholesterol, β-lipoproteins), t .e. conduct accurate topical diagnosis of the affected parts of the heart, which allows you to accurately affect the pathological zones of the heart.

 Before the procedure, the patient is instructed on the need for local muscle tension in response to pain exposure while holding the breath. Therapeutic massage effect is carried out successively by alternating pressure with an effort of not less than the force causing the appearance of the pain syndrome, but not more than the level of maximum pain tolerance of the patient, and each effort is carried out for 1-3 seconds from 1 to 5 times.

 The patient is placed on his stomach and the effect begins paravertebrally to the right of the II cervical vertebra to the end of the thoracic spine, after which a similar effect is carried out on the left. Next, they influence the interspinous spaces of the cervicothoracic spine, continuing along the intercostal spaces of the lateral surface of the chest on the left and ending with the zone corresponding to the heart meridian on the left hand.

 All of these methods are carried out at the focus of the pathology located in the left parts of the heart. At the pathology site located in the right heart, anteroposterior area and the apex of the heart, after exposure from the back of the patient, they are placed on the back and the effect is carried out first along the midline of the sternum, and then parasternally on the right and left, the procedure is completed by acting on the intercostal spaces of the left half of the chest.

 Moreover, all movements are directed to the spine. Each action is carried out with the fingers of the hand, successively alternating pressure with an effort of not less than the effort that causes the onset of pain, but not more than the level of maximum pain tolerance (tolerance) of the patient, for 1-3 seconds from 1 to 5 times and repeated every other day for 8 -20 sessions, monitoring the patient's condition both before the procedure and after it.

 PRI me R 1. Patient L. born in 1938 Diagnosis: coronary heart disease: angina pectoris; post-infarction cardiosclerosis (acute myocardial infarction (AMI) in 1989 and 1990). Atherosclerosis of the aorta, subclavian arteries (occlusion of the right and stenosis of the left subclavian). Circulatory failure (NK) 1-2 degrees. He was in the 2nd group of disability. He complained of compressive pain during physical exertion and emotional stress, shortness of breath during physical exertion, numbness, pain, cooling of the fingers.

 ECG: extensive cicatricial changes in the anterior septal region of the left ventricle.

 According to the ultrasound of the brachiocephalic arteries, the following were revealed: stenosis of the right and left subclavian arteries, stenosis of both carotid arteries, blood flow through the suprablock arteries was sharply reduced.

Ultrasound of the heart before treatment: dilatation of the left ventricle and left atrium, hypokinesia of the left ventricular myocardium in the apex region with a transition to the posterior-lateral wall (zones 9, 14, 15, 16) are noted. Mitral insufficiency I degree. Exile Faction (FI) 86%
As a result of the examination, a lesion of the anterior-septal region of the left ventricle was revealed, in connection with which the treatment was performed according to the complete cardiocomplex.

 Before the procedure, the patient was instructed on the need for local muscle tension in response to pain exposure while holding his breath. The therapeutic effect was carried out successively by alternating pressure with an effort of not less than the effort that caused the appearance of the pain syndrome, but not more than the level of maximum pain tolerance of the patient, and each effort was carried out for 1-3 seconds from 1 to 5 times.

 The patient was placed on his stomach and the exposure was first performed paravertebrally to the right of the II cervical vertebra to the end of the thoracic spine, a similar effect was performed on the left. Next, an impact was made on the interspinous spaces of the cervicothoracic spine, along the intercostal spaces of the lateral surface of the chest on the left and ended in the area corresponding to the heart meridian on the left hand.

 After this, the patient was laid on his back and additionally acted on the midline of the sternum, and then parasternally on the right and left, ended with exposure to the intercostal spaces of the left half of the chest. Moreover, all movements were directed to the spine. Sessions were held every other day, a total of 17 sessions were conducted. At each session of VBV, an assessment was made of complaints, general condition, pulse monitoring, blood pressure, ECG (before and after the session).

 Ultrasound of the heart after treatment: there is a significant decrease in the size of the left ventricle and left atrium. Limitation of the zone of hypokinesia in the apex (zone 15).

 Ultrasound control 4 months after treatment: the cardiac cavity is within normal limits, the contractility indicators of the heart have returned to normal. PHI of the left ventricle 87% There are no myocardial asinergy zones.

 A year after treatment, he was transferred to the 3rd disability group, and he works in the same place. Significant clinical improvement: heart pain is very rare, only with physical exertion, stop without medication, there is no numbness and coldness in the hands.

 PRI me R 2. Patient L. born in 1928 Diagnosis: coronary heart disease: rest angina and tension, post-infarction cardiosclerosis (AMI in 1987). Atherosclerosis of the vessels of the brain. Condition after two past strokes (1975 and 1980). NK 2 degrees.

 He complained of compressive pain behind the sternum at the slightest physical exertion and at rest, shortness of breath. He took Corinfar, nitro drugs.

 On the ECG: cicatricial changes in the posterior wall, anterior-septal area and apex.

Ultrasound before treatment: marked dilatation of the left atrium, left ventricle, right atrium, right ventricle. Severe areas of hypokinesia of the posterior lateral wall of the left ventricle with a transition to the apex of the heart. Zones: 2,3,4,5,8,9, 10, 11, 15, 16. Mitral insufficiency of 2 degrees. PH of the left ventricle 36.5%
As a result of the examination, lesions of the left and right parts of the heart were revealed, therefore, exposure to the method of VBV was performed according to the complete cardiocomplex.

 Before the procedure, the patient was instructed on the need for local muscle tension in response to pain exposure while holding his breath. The therapeutic effect was carried out successively by alternating pressure with an effort of not less than the effort that caused the appearance of the pain syndrome, but not more than the level of maximum pain tolerance of the patient, and each effort was carried out for 1-3 seconds from 1 to 5 times.

 The patient was placed on his stomach and the exposure was first performed paravertebrally to the right of the II cervical vertebra to the end of the thoracic spine, a similar effect was performed on the left. Further, the impact was also carried out on the interspinous spaces of the cervicothoracic spine, continued along the intercostal spaces of the lateral surface of the chest on the left and ended with the zone corresponding to the heart meridian on the left hand. Then the patient was laid on his back and acted on the midline of the sternum, then parasternally on the right and left. The session ended with exposure to the intercostal spaces of the left half of the chest. Moreover, all movements were directed to the spine. Sessions were held every other day, a total of 16 sessions were conducted.

 Ultrasound in the middle of treatment: a decrease in the diastolic size of the left atrium, an increase in contractility of the left ventricle. FI 49.4% The zones of hypokinesia decreased: 3,4,5,9, 10, 11. Mitral insufficiency of the first degree.

 Ultrasound at the end of treatment: there is a decrease in the diastolic size of the left ventricle. Left ventricular contractility rates improved, PHI 51.9% Mitral regurgitation, I degree. The number and extent of hypokinesia zones decreased. Zones: 3,4,5,9, 10.

 Ultrasound control: the previous indicators are stably maintained.

 After treatment: pain behind the sternum is rare and only with great physical exertion, there is no shortness of breath, improved sleep and overall well-being, currently it maintains good performance.

 PRI me R 3. Patient S. born in 1938 Diagnosis: coronary heart disease, angina pectoris of rest and tension, post-infarction cardiosclerosis (AMI in 1987). Tax Code I degree.

 Before treatment, he complained of pain in the heart at rest and shortness of breath at the slightest exertion. For relief of a pain attack, he took nitrosorbide in 2 tablets. up to 3-5 times a day. In total, he took 5 or more kinds of drugs.

 On the ECG: cicatricial changes in the posterior wall of the left ventricle.

 Ultrasound before treatment: cardiac cavities and myocardial size within the age norm. Moderate reduction in left ventricular contractility. PI 59% Myocardial hypokinesia in the apex region with a transition to the posterior wall. Signs of increased end diastolic pressure (CDD) of the left ventricle.

 As a result of the examination, lesions of the left heart regions (posterior wall) were revealed; therefore, the treatment was carried out according to an incomplete cardiocomplex.

 Before the procedure, the patient was instructed on the need for local muscle tension in response to pain exposure while holding the breath. The therapeutic effect was carried out successively by alternating pressure with an effort of not less than the effort that caused the appearance of the pain syndrome, but not more than the level of maximum pain tolerance of the patient, and each effort was carried out for 1-3 s from 1 to 5 times.

 The patient was placed on his stomach and the exposure was first performed paravertebrally to the right of the II cervical vertebra to the end of the thoracic spine, similarly to the left. Next, an impact was made on the interspinous spaces of the cervicothoracic spine, continuing along the intercostal spaces of the lateral surface of the chest on the left and ending with the zone corresponding to the heart meridian on the left hand.

 Sessions were carried out every other day, a total of 18 sessions.

 After treatment, there are no complaints, walking up to the 5th floor without pain, improving overall health, a complete rejection of drug therapy.

 Ultrasound after treatment: there is a decrease in the size of the left atrium, an increase in the contractility of the left ventricular myocardium, FI 65.6%, no areas of asynergy were detected. KDD of the left ventricle is within normal limits.

 The proposed method of treatment, including external pain (VBV), allows treatment, mainly on an outpatient basis, the duration of the course is usually 10-18 sessions.

 As a rule, from the very first day or even before treatment, the patient stops taking any medication.

 After the first sessions, overall well-being improves, cheerfulness appears, working capacity rises, pulse and blood pressure are set within the age limits, the pain and shortness of breath that bother the patient before the start of the course are significantly reduced.

 The positive dynamics is confirmed cardiographically: the ST segment approaches the contour line, the conduction of the impulses improves, the sinus rhythm is restored, the T wave improves qualitatively.

 The conducted planimetric analysis of the electrocardiogram shows a significant reduction in the total pathological deviation (STR).

 After 3-5 sessions, a significant decrease in the symptoms of the underlying disease is observed, and by the 10th session the condition is almost normal.

 Changes in lipid metabolism in patients with coronary artery disease during treatment with external pain exposure (VBV) are also very indicative. Both with elevated and normal cholesterol levels, there is a decrease in total cholesterol, beta-lipoprotein cholesterol and atherogenicity coefficient.

 The method was tested on approximately a thousand patients with various cardiovascular diseases. Of these, the majority of patients with coronary heart disease (various forms of angina pectoris, atherosclerotic and post-infarction cardiosclerosis, combined with circulatory failure, rhythm disturbances), patients with heart defects, hypertension, mitral valve prolapse, vegetovascular dystonia, etc. Positive dynamics was observed in all cases: either the complete disappearance of complaints, or the symptoms became lighter. In parallel, the functions of other systems improved: the respiratory, gastrointestinal tract, musculoskeletal system, etc. The method has a beneficial effect on the course of the disease. It is important to note that during treatment the usual mode of work is maintained. The only effort was the exclusion of alcohol, smoking, medication. Increasing the reserve abilities of the body, the disappearance of severe symptoms of the disease allows you to continue to lead a full-fledged lifestyle, perform normal or even increased physical activity with a complete refusal to take medications, which significantly distinguishes the proposed method from known methods.

 The remission period was several years.

Claims (1)

 METHOD FOR TREATMENT OF ISCHEMIC HEART DISEASE, including exposure to massage on the heart area, paravertebral zones, selected depending on the location of the lesion, combined with breathing, characterized in that they exert external pain with successively alternating pressure with an effort that causes pain, but not more than maximum pain tolerance, for 1 3 s from 1 to 5 times with local muscle tension in the affected area with simultaneous breath holding, while with the location of the focus the lesions in the left ventricle are affected by pressure on the paravertebral zones, the interspinous zones of the cervico-thoracic spine and the intercostal zones of the back on the left, the shoulder-scapular zones and the areas of the left hand along the meridian of the heart, and when the lesion is located in the atria, interventricular septum and right the ventricle additionally acts on the anterior chest in a central line, parasternal zones and intercostal spaces.