We developed well grounded differentiated methods of rehabilitation treatment in low mountains for patients after surgery for ischemic heart disease. Evaluation of the results was carried out with due account for variety of clinical course of the disease, condition of coronary and myocardial reserves of the heart and concomitant diseases. 475 males aged 22-65 years who underwent aorto-coronary bypass surgery for CAD were examined. As a result of spa treatment significant improvement of general patients condition was observed in 22.7% and condition improved in some way--in 70.2; no change of general condition was detected in 6.7% patients. It is established that condition of contractile activity of the myocardium of left ventricle is of much importance for effectiveness of the spa treatment stage of rehabilitation of cardiosurgical patients. Differentiated methods of the usage of terrain cure in the complex of sanatoria and health resort treatment are developed and introduced into practice. Severity of the principal disease, extended scar formations in the myocardium and concomitant diseases are the reasons influencing low effectiveness of the treatment.

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