Portrait of an ischemic heart disease patient with low rehabilitation potential after coronary artery bypass grafting from the perspective of the international classification of functioning: focus on rehabilitation potential

Objective. Exploring the possibility of an international classification of functioning (ICF) to assess the entire complex of impaired functions in patients with coronary heart disease with low rehabilitation potential (RP) who underwent CABG. Material and methods. The screening of discharge epicrisis of the medical histories of 118 patients with coronary heart disease aged 36 to 85 years (average age 63.3+2.0 years) was carried out. The main reason for the referral of patients to CABG was a multivessel lesion and significant stenosis of the coronary artery bed. The RP assessment was carried out in the way developed by the authors using a computer software product. It was revealed that high RP was detected in 27 patients, medium RP in 50 and low RP in 41 patients. To achieve the goal of the study, data from patients with low RP (main group; 41 people) and patients with high RP (comparison group; 27 people) were compared. Results. The analysis of domain categories in patients with coronary artery disease who underwent coronary bypass surgery, depending on the rehabilitation potential, showed that patients with RP deficiency have significant functional disorders in the ICF domains characterizing heart rate (b4101), myocardial contractility (b4102), coronary blood supply (b4103), general physical endurance (b4550), exercise tolerance (b460) and lipid metabolism (b5403). Conclusion. ICF categories are an important element of effective comprehensive rehabilitation and allow you to focus not only on the key problems of the disease, but also on human functioning and global components of his health. At the same time, it is not advisable to use ICF to quantify the effectiveness of rehabilitation technologies as the only diagnostic tool. The optimal and rational approach should be considered the integrated use of both traditional methods of scientific medical statistical analysis and ICF domains. The basic set of ICF categories for cardiac patients proposed by us should be subjected to a comprehensive analysis in various clinical situations, which requires subsequent scientific research.