Patient Safety is a fundamental principle of medical care.

"There are no wrinkles on the heart, but only scars"

(Sidonia Gabrielle Colette)

Myocardial Infarction - is a cardiovascular disaster that leads to the death of any part of the heart muscle. Death (necrosis) of part of the myocardium occurs as a result of acute cessation of blood supply and, accordingly, oxygen starvation of the heart tissue. "Infarctus" - in Latin means "stuffed, stuffed, stuffed". What kind of filling are we talking about? This is a blood clot that accidentally broke off from the wall of a large vessel or an atherosclerotic plaque that clogged the lumen of the coronary artery (the artery that supplies blood to the heart muscle). Myocardial necrosis - the process is not reversible, a scar is subsequently formed at the site of damage. This leads to the fact that the heart will never be able to perform its function at the same level.

Myocardial Infarction – life-threatening condition. According to world statistics, the death rate at the pre-hospital stage is at least 50%, that is, the disease proceeds so quickly that every second patient dies before the arrival of doctors. Complications are also very dangerous, both early and late, and they account for another 30% of deaths.

According to who statistics, mortality due to cardiovascular diseases is in the first place among all other causes. Among them, myocardial infarction takes the first place, it is the cause of death in 4.2 million people every year – this is 47% of the total death statistics. Men of working age from 35 to 50 years are 50 times more likely to have a heart attack than women who have a peak incidence during the menopause, after fifty years. However, "female heart attacks" are more likely to end in death – 53% versus 43% of "male heart attacks".

It is Extremely important to form a lifestyle so as to minimize the risk of myocardial infarction. It is important to know that there are risk factors that we cannot influence,such as male gender,old age, heredity (close relatives have already suffered a stroke or myocardial infarction). However, there are factors that can and should be influenced by changing your lifestyle and following all your doctor's recommendations. These risk factors include Smoking, overweight, high blood pressure, high blood sugar and cholesterol levels,hypodynamia, and alcohol abuse.

In the first place in the prevention of cardiovascular disasters are regular and reasonable aerobic physical training, which gradually leads to the opening and formation of additional small vessels that improve blood supply to the heart muscle. In a significant number of cases, this will avoid the risk of developing a myocardial infarction, improve the tolerance of physical activity, and thus improve the quality of life of a person. The load should be training, it is individual for each person, and it can be determined with the help of a specialist who can help find out individual resistance to physical exertion. Physical training should be regular and systematic

It Should be understood that people who smoke have a myocardial infarction about 10 years earlier than non-smokers. Unfortunately, passive smokers also have twice the risk of dying from heart disease than other people. In people who smoke, blood density increases, platelets more easily form clots and blood clots, inflammatory processes in the arteries are provoked, the inner layer of the arteries is damaged, thereby accelerating the formation of atherosclerotic plaques on the walls of the arteries, as well as reducing the strength of plaques already available. Arterial vessels, "feeders" of organs, in smokers narrow, their walls become less malleable, the movement of blood in them slows down. It is also proven that the heart muscle itself is affected in smokers. One cigarette smoked increases the heart rate by 8-10 beats per minute, and yet it is proven that it is necessary to reduce the heart rate to the desired limits, which doctors achieve by taking certain medications.

It is Extremely important to monitor blood pressure figures, which should be less than 140/90 mmHg. At high blood pressure, the arteries gradually thicken, they are tense, prone to micro-damage, and cholesterol easily penetrates the walls of the arteries, forming atherosclerotic plaques. The heart muscle, which has already suffered, works with an additional load, overcoming the additional resistance of blood vessels, while getting tired and wearing out.

It is equally important to determine your blood sugar level. In diabetes, as a rule, initially there is an excess of insulin in the blood, and later an excess of glucose is added. The body's cells lose their ability to perceive insulin. Excess insulin and glucose contribute to the development of atherosclerosis. The arteries thicken, become less elastic, and the blood becomes more viscous, less fluid, and clots form faster, creating all the conditions for the development of a myocardial infarction.

In the absence of a healthy diet and inactivity, a person inexorably increases the volume of adipose tissue, which requires additional nutrition, creates an excessive load on the heart. Fat deposits raise the diaphragm, restrict the movement of the chest, interfere with the heart. An excess of carbohydrate and fatty foods in the food leads to increased insulin production, carbohydrates are converted into fats, and the amount of fatty acids increases, thereby creating all the conditions for the formation of atherosclerotic plaques. It is not surprising that obese people have a myocardial infarction 4 times more often. Obesity, diabetes, high levels of lipids in the blood – all these are sometimes links in a "single chain reaction", which is usually based on an incorrect lifestyle.

Joining one risk factor for each new one increases the risk of myocardial infarction exponentially: four, nine, and so on. The output is not complicated...

These drugs reduce the risk of heart attack not only by lowering cholesterol levels, but also by using additional mechanisms. For example, they reduce inflammation of the arteries, slow down atherosclerotic processes, strengthen the tires of the atherosclerotic plaque, and so on. You should not cancel any medications yourself without consulting your doctor. But only because a friend said "that it is harmful".

There is no Doubt that a favorable psychological state of a person is a necessary condition for success. Walking in the fresh air, contemplation of flowers and forests, healthy sleep will help to acquire a harmonious state. All this creates an excellent base for normalization of blood PRESSURE, strengthens the necessary skills for a healthy lifestyle.

Be healthy and remember, Your heart beats not only for You!

Stroke is an acute disorder of cerebral circulation, characterized by the appearance of neurological symptoms that persist for more than 24 hours or lead to the death of the patient at an earlier date.

Stroke ranks third in the mortality rate of the population.

There are 2 types of stroke - ischemic and hemorrhagic.

The cause of ischemic stroke is thrombus formation, clots of blood substances enter the vessels of the brain and cause clogging. The cause of hemorrhagic stroke in 80% of cases is arterial hypertension.

Stroke is easier to prevent than to deal with complications and death, and for this it is necessary to fight risk factors:

1. Arterial hypertension is the most significant risk factor for stroke. You should try to reach a blood pressure level below 140/90 mm Hg. In patients with diabetes or renal insufficiency - below 130/90 mm Hg. Therapy is selected by a general practitioner, cardiologist. It is necessary to constantly take antihypertensive therapy and regularly monitor blood pressure. It is better to keep a diary, then it will be easier for you and your doctor to adjust the dose of the drug.
2. Atrial fibrillation is a risk factor for stroke and is the most common rhythm disorder hearts. For atrial fibrillation, aspirin or oral anticoagulants are recommended to prevent stroke.
3. Diabetes mellitus - increases the risk of stroke by 1.5 times. Strict control of blood sugar, adherence to diet, in combination with antihyperglycemic drugs or insulin is necessary.
4. Lipid disorders - statin use reduces the risk of stroke by 24%. Currently, statins are recommended for all patients with coronary artery disease and dyslipidemia.
5. Smoking - increases the risk of stroke by 1.5-2 times. Stopping smoking leads to a decrease in the risk of stroke after 2-4 years. Now there is an active promotion of a healthy lifestyle and a life without smoking. Cigarette packs are printed with horrifying pictures, BUT don't forget about secondhand smoke. One hour in a smoky room is equal to smoking 10 cigarettes. And one hour of hookah smoking is equal to smoking 100 cigarettes. It's never too late to quit smoking, think about it!
6. Alcohol abuse - alcohol restriction has been proven to reduce systolic and diastolic blood pressure by 3 and 2 mm Hg, respectively. A complete rejection of alcohol in a month by 7.3 / 6.5 mm Hg.
7. Fight obesity - Eat a healthy, balanced diet. It has been proven that abdominal obesity is considered the most dangerous. Avoid drastic weight loss. Proper nutrition should be a way of life.
8. Physical inactivity - regular exercise reduces the risk of stroke. The loads should be dynamic (swimming, walking, jogging). Exercise should be started with a minimum load, gradually increasing it. The regularity of classes and the instructor's control are important, at least in the first 5-10 classes. When increasing the load, you should pay attention to health, sleep, appetite, body weight.
9. Get medical check-ups annually - don't self-medicate!

In prevention, medical literacy of the population is important, because danger often lies in wait for us when we are at home, at work or just walking down the street.

What to look out for if a stroke is suspected?

There is a simple text FACE-HAND-SPEECH.

If:

• The patient cannot smile. The corner of the mouth is down.
• The patient cannot raise two hands
• The patient cannot pronounce his name

Call an ambulance urgently, it is important to hospitalize the patient in the first 3-4 hours after the onset of stroke symptoms.

Doctor-neurologist Makieva K.S.

Hungry for a rest, after  two months of inactivity forced a break in work, my colleagues and I are ready to provide new programs of rehabilitation and treatment.

Many people in his life experienced a sense of fear. Millions of people around the world experience a panic fear of the coronavirus and are taking unprecedented security measures and precautions. Person captured the fear of Contracting mers are struggling to evaluate and establish which situations are dangerous and life-threatening.

Where to find help?

to cope with bouts of fear of this new coronavirus infection is almost impossible.

Many make the right decision. In order to break the vicious circle of thoughts and worries, and at least for a while to get out of the situation - going out of town closer to nature, to the resort. This allows you to disconnect from worries and improve your health.

the Sanatorium "Beautiful", balneo – climatic resort, located in the heart of the Belgorod land. Pine  boron, crystal water of the river Vorskla, sandy beach,  squeaky  clean  the air, saturated with oxygen – all this creates an unforgettable atmosphere of natural harmony and man-made beauty.

Psychotherapy is the beauty that cheer up, and back down the disease is not just a slogan, it is practiced in the sanatorium method.

Not surprisingly, improvement of  patients with diseases of the heart, bronchi, lungs, and nervous system occurs in the first days of stay in a sanatorium. Customers who suffer from fear of Contracting coronavirus, in the REGIONAL "Sanatorium "Beautiful" is doctors and psychologists. 

Terms  of our resorts ensure the best use of therapies and successfully implement psychological intervention programmes. In addition, tourists included additional  factor – the place of the usual  situation that gives a new resource and the opportunity to get out of the "vicious circle" of thoughts and concerns significantly increases the efficiency of the methods of psychotherapy and psychocorrection.

We consider the active nature of psychotherapy, a combination of her holiday factors.

the resort has several well-equipped offices for psychotherapy and psycho-correction work with the tourists. The room of psychological unloading, a sensory room, allow psychocorrection group sessions with different groups of people, including those with kovalevojj and fear of Contracting coronavirus.

Offices for individual work with the client  is always ready to welcome tourists with its comfort and coziness. Experienced and competent professionals develop and implement psychotherapeutic and psycho-correction programs for different groups of people. But in today's reality, special attention is paid to the vacationers with diseases of the  respiratory and fear of getting sick.

One  of  the best methods of increasing stress resistance and counteraction of cavitatii is psychological self-regulation. It is based on the use of various psychological techniques to achieve a state of neuromuscular relaxation, relaxation. The most famous are: progressive muscle relaxation, autogenic training, breathing relaxation training. From our experience we can say that the complex effect of these methods gives excellent results, which is very important to prevent stress and fear of Contracting coronavirus, choke and stop breathing.

Breathing – relaxation method will include elements of meditation techniques that help to reduce the level of anxiety and tension among tourists.

auditory training is an effective alternative to tranquilizers and sleeping pills drugs. It not only helps in a great way the treatment of any chronic condition, but also is one of the most effective "antidote" from  stress and sex.

the resort operates a sensory room, which resembles a "life raft". Psycho sessions in the sensory room to remove the disturbing neurotic experiences, fears, to create an emotionally calm state, to intensify  tourists, to cause a pleasant and even aesthetically significant experiences.

In the sanatorium "Beautifully" perfectly built system of education with the tourists. Each camper should take away from sanatorium precious gift – the knowledge and skills of caring for their welfare.

guests of the institution systematically psychologists and doctors give lectures on healthy lifestyle and disease prevention. Conducted interviews, regular roundtable meeting with doctors and psychologists, organized a psychological lecture.

the Sanatorium "Beautiful has a wonderful cinema room where you can view and discuss popular science, documentary films about health. And in a situation coronavirus infection we picked up a quality lineup of popular scientific and documentary films on human health that will expand the horizons  tourists and will help to cope with kovalevojj.

health resort Wellness programs significantly enhance the therapeutic effect of conventional medical procedures and prescriptions, which allows travelers in the short term to deal effectively with the problems of fear coronavirus infection.

the Search for peace of mind and enjoyment of life and oneself is achievable as for a person.

Vasilchenko, Lydia V.,

psychologist, of REGIONAL "Sanatorium "Beautiful"