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Systemic enzyme treatment as a method of secondary prevention in patients after myocardial infarction in the rehabilitation period.

Sledzevskaya I.K., Loboda M.V., Kolesnik E.A., Babiy L.N., Fisenko L.I. Systemic enzyme treatment as a method of secondary prevention in patients after myocardial infarction in the rehabilitation period. II Mediterranean Congress of Physical Medicine and Rehabilitation, 20-23 May, 1998, Valencia, Spain
Abstracts- pp. 137.489 KA (19-08-3)
Ukrainian Institute of Cardiology,"Ukrprofzdravniza", Kiyev, Ukraine

Abstract: Despite its proved hypolipidemic and immunocorrective effects, Wobenzym ("Mucos Pharma" Germany) has not been used in patients with myocardial infarction (MI) in period of rehabilitations.The aim of this study was the estimation of influence treatment with Wobenzym on lipids parameters, antioxidant activity and immunological indices in patients after myocardial infarction.
30 myocardial infarction patients in 3rd-4th week of the disease were treated with Wobenzym. The patients also received beta-adrenoblockers, nitrates, aspirin and inhibitors ACE.
Parallel experimental studies with two rabbit groups with a hypercholesterolemia model were carried out. Cholesterol content in plasma, blood pro- and antioxidant parameters and state of blood monocytes were estimated. Evident hypolipidemic effects (significant decrease of cholesterol level) and immunocorrecting effects (significant decrease of titer of antibodies to the infarcted myocardium and circulating immune complexes) of Wobenzym were demonstrated in clinical and experimental study.
Based on obtained results it can be recommended to use Wobenzym in complex treatment of myocardial infarction patients to reduce risk factors of reinfarction.