cardioКардиологияKardiologiia0022-90402412-5660Kardiomag10.18087/cardio.2020.3.n546cardio-546Research ArticleОБЗОРЫREVIEWSСовременные стратегии кардиореабилитации после инфаркта миокарда и чрескожного коронарного вмешательстваModern strategies for cardiac rehabilitation after myocardial infarction and percutaneous coronary interventionhttps://orcid.org/0000-0001-7825-5597ЛаринаВ. Н.LarinaV. N.

кафедра поликлинической терапии лечебного факультета, заведующая

prof., Head of department of outpatient medicine

larinav@mail.ruhttps://orcid.org/0000-0001-6713-1054АхматоваФ. Д.AkhmatovaF. D.

к.м.н., доцент, кафедра поликлинической терапии лечебного факультета

Associate Professor, department of outpatient medicine

a.fa.da@mail.ruhttps://orcid.org/0000-0001-9010-3836АракеловС. Э.ArakelovS. E.gkb13@zdrav.mos.ruhttps://orcid.org/0000-0001-6016-7652МоховА. Е.MokhovA. E.gkb13@zdrav.mos.ruhttps://orcid.org/0000-0002-8938-7269ДоронинаИ. М.DoroninaI. M.gkb13@zdrav.mos.ruhttps://orcid.org/0000-0003-3372-3259ДенисоваН. Н.DenisovaN. N.gkb13@zdrav.mos.ruРоссийский Национальный Исследовательский Медицинский Университет им. Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian FederationГБУЗ ГКБ№13 ДЗМРоссияMoscow City Clinical Hospital 13Russian Federation202020012020603111118Copyright © Kardiomag, 20202020KardiomagKardiomaghttps://cardio.elpub.ru/jour/about/submissions#copyrightNoticehttps://cardio.elpub.ru/jour/article/view/546

Современная кардиореабилитация осуществляется как структурированная, многокомпонентная программа, которая включает в себя физическую активность, обучение больного, изменение его поведения в отношении здоровья, психологическую и социальную поддержку. В странах Европейского союза только 44,8% пациентам с ишемической болезнью рекомендуют участвовать в любой форме реабилитации, и только 36,5% всех пациентов в настоящее время имеют доступ к любой реабилитационной программе. Систематический анализ программ профилактики сердечно-сосудистых заболеваний и реабилитации у больных, перенесших инфаркт миокарда и чрезкожное коронарное вмешательство показывает, что комплексные программы, включающие ключевые компоненты кардиореабилитации, регулирующие шесть или более факторов риска и эффективно контролирующие лекарственную терапию, по-прежнему снижают общую и сердечно-сосудистую смертность, частоту повторного инфаркта миокарда и инсульта.

Modern cardiac rehabilitation represents a structured, multicomponent program, which includes physical activity, education of the patient, modification of the health behavior, and psychological and social support. In EU countries, only 44.8% of patients with ischemic heart disease receive a recommendation to participate in any form of rehabilitation, and only 36.5% of all patients presently have an access to any rehabilitation program. Systematic analysis of programs for prevention of cardiovascular diseases and for rehabilitation in patients with myocardial infarction (MI) and percutaneous coronary intervention showed that complex programs can still reduce all-cause and cardiovascular mortality and frequency of recurrent MI and stroke. These programs include key components of cardiac rehabilitation, reduction of six or more risk factors, and effective control by drug therapy.

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The authors declare that there are no conflicts of interest present.