[Effectiveness of intermittent normabaric hypoxic trainings in elderly patients with coronary artery disease].

The intermittent normabaric hypoxic training (IHT) is a non-pharmacological method, which due to several positive effects, has been used successfully in treating patients with cardiovascular diseases (CVD). However, the application of this method in the elderly has its own peculiarities because of age-related changes of organism. The article presents the indications and limitations of IHT in elderly people with coronary artery disease, the method of the mode of training in the elderly, as well as displaying the results of our clinical study of the safety and efficacy of IHT in 45 elderly patients with stable angina of I and II functional classes. It is shown that IHT is a safe method, leading to reduction in clinical symptoms of angina and duration of daily myocardial ischemia, normalization of lipid metabolism and increase exercise tolerance. Mechanisms of positive effects of IHT in patients with stable angina of I and II functional classes are an economical functioning of the cardiovascular system, optimization of oxygen consumption, improvement of vasomotor endothelial function due to increased formation of nitric oxide, normalization of microcirculation.