S V Klemenkov

Publications (25)1.56 Total impact

• Article: [Effect of combined application of nitrogen baths and 6 month physical training on physical work capacity and extrasystole in patients with ischemic heart disease and stable stenocardia].

  S V Klemenkov, A N Razumov, A M Iavisia, S S Voronin, I V Kubushko
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  ABSTRACT: To study effects of combined use of general artificial nitric baths and bicycle exercise for 6 months on physical performance (PP) and extrasystole (ES) in patients with coronary heart disease (CHD) and stable angina pectoris (SAP) of functional class I-II. A total of 129 CHD with SAP patients entered the study. Of them, 44 patients received balneotherapy (a course of general artificial nitric baths); 37 patients took the baths and exercised on bicycle ergometer; 48 patients took the baths, exercised on bicycle ergometer in the outpatient clinic and continued the exercises for 6 months. The patients were examined with spiroveloergometry and ambulatory Holter ECG monitoring. The latter group of patients achieved the highest training effect manifesting with increased PP and coronary heart reserve, an antiarrhythmic effect (a 73.3% fall in the mean number of ventricular ES for 24 hours, a 72.2% one in this number of supraventricular ES). A significant efficacy is shown of combined use of general nitric baths and bicycle exercise with prolongation for 6 months in CHD patients and SAP of functional class I-II with ES.
  Terapevticheskii arkhiv 02/2003; 75(12):23-6. · 0.14 Impact Factor
• Article: [Effect of superhigh frequency electromagnetic fields and physical exercise on physical performance and extrasystole in myocardial ischemia patients with stable angina pectoris].

  S V Klemenkov, N F Chashchin, I V Kubushko, A S Klemenkov
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  ABSTRACT: To study impact of UHF electromagnetic fields in combination with bicycle exercise on muscular performance (MP) and extrasystole (ES) in IHD patients with stable angina of functional class 1 and 2 (SA). The trial included 112 IHD patients with SA and ES. 36 of them were exposed to coursed electromagnetic fields (40 W, on heart area). The other 42 patients received the same treatment and exercised on bicycle ergometer. 34 patients received placebo procedures and did therapeutic exercises. The effect was assessed with spiroveloergometry and ECG Holter ambulatory monitoring. It was found that 40 W UHF electromagnetic fields in combination with exercise on veloergometer exert a training effect in IHD patients with extrasystole manifesting with higher physical performance and coronary heart reserve. The antiarrhythmic effect consisted in a significant daily fall in mean ventricular ES number by 48.2%, supraventricular EX by 54.8%. Combined application of 40 W UHF electromagnetic fields on heart area with bicycle exercise is effective in IHD patients with ES.
  Terapevticheskii arkhiv 02/2002; 74(9):42-5. · 0.14 Impact Factor
• Article: [The rating method of evaluating the theoretical and practical training of students in a department of polyclinic therapy (a 2-year experience)].

  S V Klemenkov, M A Sarova, O F Liubchenko, G P Andrianova, O N Brezitskaia, O S Grushkina, L F Perelygina
  Terapevticheskii arkhiv 02/1994; 66(1):76-7. · 0.14 Impact Factor
• Article: [Methods of active problem instruction in teaching polyclinic therapy at a medical institute].

  S V Klemenkov, O F Liubchenko, M A Sarova, G P Andrianova, O N Brezitskaia, O S Grushkina, L F Perelygina
  Terapevticheskii arkhiv 02/1993; 65(12):75-6. · 0.14 Impact Factor
• Article: [The combined use of carbon dioxide baths and physical training on a bicycle ergometer in the treatment of patients with ischemic heart disease at sanatoria and health resorts].

  S V Klemenkov, A K Makushkin, O B Davydova, A S Makarkin
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  ABSTRACT: The effectiveness of exercise on bicycle ergometer in combination with effervescent baths was studied in 158 patients with ischemic heart disease receiving treatment in conditions of the sanatorium. Relevant combination is shown to raise IHD sanatorium treatment efficacy, the best regimen being bicycle ergometry exercise followed in 2 hours by the baths or performed on the next day after the bath taking.
  Terapevticheskii arkhiv 02/1993; 65(1):37-40. · 0.14 Impact Factor
• Article: [Chronotropic insufficiency in patients with ischemic heart disease].

  S V Klemenkov, V A Shul'man, V V Kusaev, E A Savchenko
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  ABSTRACT: A study is presented of 80 patients with ischemic heart disease (IHD): 37 patients with a low reaction of the cardiac rhythm to physical load--chronotropic insufficiency (CHI) and 43 patients with an adequate reaction of the cardiac rhythm to loads. Physical working capacity was evaluated by the strength of threshold load, pulsepressure double product, rest quotient, oxygen pulse, oxygen consumption per 1 kgm of work. Interval between the 1 and 2 examination--6.5 years. It was shown that CHI in IHD does not influence the prognosis of the disease and does not reflect the grade of its severity. They are, however, the marker of involvement of the atria. Chronic insufficiency in ischemic heart disease makes it difficult to objectively evaluate the physical working capacity.
  Vrachebnoe delo 07/1991;
• Article: [Practical games in the teaching of emergency care problems in a department of polyclinical therapy].

  S V Klemenkov, V A Shul'man, O F Liubchenko, V A Chupakhina
  Terapevticheskii arkhiv 02/1991; 63(5):150-1. · 0.14 Impact Factor
• Article: [Improvement in the forms of control over the knowledge of interns in a department of polyclinical therapy].

  S V Klemenkov, O F Liubchenko, G P Andrianova, O S Grushkina, L F Perelygina, M A Sarova
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  ABSTRACT: The authors summarize their experience gained with the methods of perfection the subinterns' knowledge control at the chair of polyclinical therapy. While taking the course of polyclinical therapy, the subinterns are to take 3 tests: the first one after the 4-day studies of urgent conditions which the district physician faces, the second one after the 5-day studies into expert medical evaluation of the working capacity in the activity of the district internist, and the third one after a cycle of studies into polyclinical therapy. During such tests, the knowledge may often be checked in writing.
  Terapevticheskii arkhiv 02/1991; 63(8):138-9. · 0.14 Impact Factor
• Article: [Comparative analysis of the significance of transesophageal stimulation of the left atrium and bicycle ergometry in the detection of residual myocardial ischemia during the early period of myocardial infarct].

  A P Bezruk, V A Shul'man, G V Bezruk, S V Klemenkov, F F Kostiuk
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  ABSTRACT: The study was undertaken to compare transesophageal left atrial pacing (TLAP) and bicycle ergometry (BE) in the detection of residual myocardial ischemia (RMI) in 187 patients with myocardial infarction in the early periods of the disease (on days 20 to 26). The intensity of TLAP and BE was increased up to the threshold and submaximal levels according to the conventional criteria. Among the patients, RMI was detected in 71% with TLAP and in 55% with BE (p less than greater than 0.01). Thus, this suggests that TLAP has advantages over BE in the detection of RMI in patients with myocardial infarction in the early periods of the disease.
  Kardiologiia 07/1990; 30(6):30-2. · 0.20 Impact Factor
• Article: [The indices of spiroergometry and tetrapolar rheography in patients with ischemic heart disease].

  S V Klemenkov, V A Shul'man
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  ABSTRACT: Indices of the central hemodynamics and stroke indices were assessed by means of spiroergometry and tetrapolar chest rheography were studied in 35 practically healthy persons and 45 patients with ischemic heart disease and a direct correlation between the indices of hemodynamics and the above methods was found. Spiroergometry may be used for evaluation of the hemodynamic parameters in patients with ischemic heart disease.
  Vrachebnoe delo 10/1989;
• Article: [Information value of the physical work capacity indices of patients with hypertension and sinus node involvement].

  S V Klemenkov, V A Shul'man
  Vrachebnoe delo 04/1988;
• Article: [Cardiorespiratory function of workers in the electric steel smelting shop of the Sibelektrostal' Plant].

  F F Kostiuk, S V Klemenkov, V A Shul'man, B V Nazarov
  Gigiena truda i professional'nye zabolevaniia 06/1987;
• Article: [Physical work capacity in different clinical forms of the sick sinus syndrome].

  S V Klemenkov, V A Shul'man, V V Kusaev
  Vrachebnoe delo 03/1987;
• Article: [Sinus node function of ischemic heart disease patients with chronotropic incompetence].

  V A Shul'man, F F Kostiuk, V V Kusaev, G V Matiushin, S V Klemenkov
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  ABSTRACT: Forty-five (17.6%) of 256 coronary patients showed inadequately small heart rate augmentation in response to rationed exercise ("chronotropic incompetence"). To assess their sinoatrial node function, esophageal atrial stimulation was done in all patients before and after drug-induced vegetative block, and the adjusted sinoatrial node function time and sinoatrial conduction time were determined. Electrophysiological evidence suggests that "chronotropic incompetence" is in most cases determined by abnormal sinoatrial rhythm. Rationed exercise testing can be used as a screening test for latent weak sinoatrial node syndrome in coronary patients.
  Kardiologiia 12/1986; 26(11):84-7. · 0.20 Impact Factor
• Article: [Physical work capacity of patients with ischemic heart disease and reduced chronotropic reserve].

  S V Klemenkov, V A Shul'man, F F Kostiuk
  Vrachebnoe delo 04/1985;
• Article: [Work capacity evaluation of patients with sick sinus syndrome].

  S V Klemenkov, V A Shul'man, V V Kusaev, F F Kostiuk
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  ABSTRACT: Thirty-four normal subjects, 30 patients with sinoatrial node weakness (SANW), and 129 patients with coronary heart disease (CHD) without the signs of sinoatrial node involvement were examined. The work fitness was studied with the aid of indirect estimates (PWC 170, maximal oxygen consumption per kg bw, double product), spiroergometry (oxygen pulse, rest quotient) and central hemodynamic data (cardiac and stroke indices). The work fitness in SANW patients was low, depending on the disease etiology and chronotropic reserves of the heart. PWC 170, maximal oxygen consumption per kg bw, oxygen pulse were found to overestimate the genuine level of the SANW patients' physical status. In view of this fact these estimates cannot be used for its evaluation. It is inferred that the power of the threshold loading, the rest quotient, the cardiac index, and double product adequately reflect the work fitness of SANW patients.
  Terapevticheskii arkhiv 02/1984; 56(8):46-9. · 0.14 Impact Factor
• Article: [Effects of the combination of nitrogen baths and physical training on physical performance and extrasystole in patients with coronary heart disease with intraventricular blocks].

  S V Klemenkov, A N Razumov, A M Iavisia, O B Davydova
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  ABSTRACT: 99 patients with coronary heart disease (CHD), stable angina pectoris (functional class I-II), intraventricular blocks (IVB) took a course of general artificial nitrogen baths. Of them, 31 patients took the baths alone; 35 patients, in addition, exercised on veloergometer; 33 patients took baths and continued physical training up to 6 months. The results of the treatment were assessed with spiroveloergometry, ambulatory Holter ECG monitoring. Those who took baths and exercised for 6 months benefited from the treatment most as their muscular performance and coronary heart reserve increased; mean daily number of ventricular extrasystoles reduced by 73.3%, supraventricular extrasystoles--by 72.2%; intraventricular conduction was not damaged.
  Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury
• Article: [The effect of sodium chloride baths on the physical work capacity and extrasystole of patients with ischemic heart disease and stable stenocardia].

  S V Klemenkov, O B Davydova, E F Levitskiĭ, N F Chashchin, O Ia Sharova, I V Kubushko
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  ABSTRACT: 73 patients with ischemic heart disease (IHD) and stable angina pectoris of NYHA class I and II underwent balneotherapy. 43 of them took a course of sodium chloride baths, 30 control patients took common water baths. As shown by spiroveloergometry and Holter monitoring, sodium chloride baths are a good training modality in IHD patients. They enhance muscular performance and coronary heart reserve, reduce the mean 24-h number of ventricular extrasystoles by 49.9%, supraventricular extrasystoles by 57.5%.
  Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury
• Article: [Color-physiopuncture corrections of autonomic disorders].

  N N Anan'in, A N Razumov, S V Klemenkov, E F Levitskiĭ, I V Kolesnikova
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  ABSTRACT: Investigations have shown that electromagnetic waves of color band used for physiopuncture correction of functional-dynamic condition of channel-meridional system of the body in young patients with vegetovascular asthenia of a hypertensive type lead to a regress of the clinical symptoms, normalization of arterial pressure, correction of cerebral hemodynamic disorders, recovery of normal bioelectric activity of the brain.
  Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury
• Article: [Effect of sinusoidal modulated currents on physical ability to work and disruption of cardiac rhythm in coronary heart disease with stable angina pectoris].

  S V Klemenkov, E F Levitskiĭ, N F Chashchin, L N Siforkina, I V Kubushko
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  ABSTRACT: 137 patients with coronary heart disease (CHD) and stable angina pectoris (functional classes I and II) participated in the study. 67 patients received a course of sinusoidal modulated currents (SMC) on the heart area; 40 patients--SMC on the sinocarotid zones; 30 patients received placebo procedures. The treatment outcomes were assessed with spiroveloergometry, ambulatory Holter ECG monitoring. The results demonstrate that course SMC provide a training effect (improved physical performance, coronary heart reserve) and antiarrhythmic action (mean daily number of ventricular extrasystoles decreased by 36.6-50.4%, supraventricular extrasystoles by 42.7-43.2%).
  Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury