Clinical anamnestic characteristics and muscle strength in middle-aged men with ischemic heart disease in the presence of myocardial infarction

Introduction. Evaluation of muscle strength of wrist flexors in patients with coronary heart disease can act as a predictor of total muscle strength and influence the prognosis for patients after a previous myocardial infarction, taking into account the rehabilitation program. The purpose of the study is comparison of clinical anamnestic characteristics of middle-aged men with coronary heart disease with comparable social status, physical activity and body mass index (BMI), depending on the presence of myocardial infarction as well as an assessment of muscle strength of the wrist flexors, bioelectrical impedance analysis and testosterone level. Material and Methods. The study included men at the age of 58.09±6.85 on average; living in rural areas who were clinically monitored by a cardiologist at the central district hospital: the main group included men 3 months after the first myocardial infarction, the comparison group - patients with stable coronary heart disease. Clinical anamnestic status of all patients was assessed; evaluation of muscle strength of wrist flexors by means of dynamometry, bioelectrical impedance analysis, testosterone test and SF-36 Survey were also carried out. Results. Middle-aged men (58.09±6.85 years old) living in rural areas who had a similar physical activity, a long anamnesis of hypertension 180 (72; 228) months, coronary heart disease (49.28±12.47 months), anamnesis of coronary artery bypass surgery - CABG (1.2±0.03 years) were more likely to have hereditary cardiovascular diseases (38 vs. 12%, p=0.05) and anamnesis of previous acute disturbance of cerebral circulation (16 vs. 2%, p=0.04) than patients after the first myocardial infarction. The 6-minute walk test was greater in men after the first myocardial infarction (457.07±46.44 vs. 416.64±51.58, р function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }