The Influence Of Complex Non-Drug Treatment Methods On The Course Of Chronic Heart Failure

Abstract

The study aimed to evaluate the impact of comprehensive non-pharmacological treatments on the course of chronic heart failure (CHF) in patients at a large regional cardiology center. The Novosibirsk Regional Clinical Cardiology Dispensary, which provides specialized care to patients with cardiovascular disease, was chosen as the study site. Based on clinical guidelines and epidemiological studies conducted in the Russian Federation, a prospective evaluation of two groups of patients with CHF functional class II-III (NYHA) receiving optimal drug therapy was modeled. In one group, standard treatment was supplemented with a range of non-pharmacological interventions, while in the other, patients received only general lifestyle recommendations. Analysis of changes in six-minute walk distance, functional class, quality of life, and hospitalization rates showed that the inclusion of comprehensive non-pharmacological interventions was associated with a more significant improvement in clinical status and a reduced burden on the healthcare system. The obtained results are consistent with current Russian and international guidelines for the management of CHF and highlight the need for the systematic implementation of such programs in cardiology centers across the Russian Federation.