Журнал кардиореспираторных исследований 2026. №1
Maqola mavzusi
CLINICAL EFFICIENCY OF THE DIGITAL PLATFORM IN PERSONALIZING CARDIOREHABILITATION AFTER MYOCARDIAL INFARCTION (101-105)
Mualliflar
Xamidov O.A., Boboeva N.A.
Muassasa
Samarkand State medical university
Annotatsiya
Relevance. Despite significant achievements in the treatment of myocardial infarction, the problem of effective medical rehabilitation and restoration of the functional state of the cardiovascular system remains relevant. Modern approaches to cardiorehabilitation require the implementation of personalized technologies that allow for consideration of patients' individual clinical and functional characteristics. The aim of the study is to assess the clinical effectiveness of the digital platform in personalizing cardiorehabilitation programs in patients after myocardial infarction. Materials and methods. The study included 118 patients who had a myocardial infarction. The main group consisted of 54 patients who underwent rehabilitation using a digital platform that provides personalized rehabilitation measures. The comparison group consisted of 64 patients receiving a standard cardiorehabilitation program. Results. After completing the rehabilitation course, patients in the main group showed a more pronounced improvement in the structural and functional state of the myocardium compared to the comparison group. Left ventricular ejection fraction increased by 6.2% (p<0.001), while in the comparison group it increased by 2.5% (p=0.03). Heart rate variability indicators improved by 28.4% (p<0.001), physical exercise tolerance increased by 24.4% (p<0.001), and quality of life indicators significantly improved across all main scales (p<0.05). The obtained results indicate a more effective restoration of the functional state of the cardiovascular system when using a digital platform. Conclusion. The use of a digital platform for personalizing cardiorehabilitation in patients after myocardial infarction provides a more pronounced restoration of myocardial contractility, improved autonomic regulation of cardiac activity, increased tolerance to physical activity, and improved quality of life.
Kalit so'zlar
personalized rehabilitation, echocardiography, left ventricular ejection fraction, heart rate variability, exercise tolerance
Adabiyotlar
1. McDonagh T.A., Metra M., Adamo M., et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2023. Eur Heart J. 2023;44 (4):359-372. 2. Collet J.P., Thiele H., Barbato E., et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44 (38):3720- 3826. 3. Visseren F.L.J., Mach F., Smulders Y.M., et al. 2021 ESC Guidelines on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2021;42 (34):3227-3337. 4. Thomas R.J., Beatty A.L., Beckie T.M., et al. Home-based cardiac rehabilitation: A scientific statement from the American Heart Association. Circulation. 2024;149 (1):e1-e28. 5. Anderson L., Thompson D.R., Oldridge N., et al. Exercise-based cardiac rehabilitation for coronary heart disease: systematic review and meta- analysis. J Am Coll Cardiol. 2022;79 (12):1228-1240. 6. Frederix I., Caiani E.G., Dendale P., et al. ESC e-Cardiology Working Group Position Paper: Digital health in cardiac rehabilitation. Eur Heart J Digital Health. 2022;3 (3):255-273. 7. Kraal J.J., Van den Akker-Van Marle M.E., Abu-Hanna A., et al. Clinical effectiveness of home cardiac rehabilitation using telemonitoring. Eur J Prev Cardiol. 2022;29 (7): 1032-1040. 8. Maddison R., Rawstorn J.C., Stewart R.A.H., et al. Effects and costs of real-time cardiac telehealing. Heart. 2023;109 (4):321-328. 9. Ramachandran H.J., Jiang Y., Tam W.W.S., et al. Effectiveness of smartphone-based cardiac rehabilitation. Eur J Cardiovasc Nurs. 2023;22 (2):101-112. 10. World Health Organization. Digital health interventions for cardiovascular disease management. Geneva: WHO; 2021. 11. Ades P.A., Keteyian S.J., Wright J.S., et al. Increasing cardiac rehabilitation participation. Circulation. 2022;146 (15):e345-e356. 12. Rawstorn J.C., Gant N., Direito A., et al. Telehealth exercise-based cardiac rehabilitation: systematic review and meta-analysis. J Med Internet Res. 2022;24 (5):e29588. 13. Beatty A.L., Fukuoka Y., Whooley M.A. Using mobile technology for cardiac rehabilitation. J Am Heart Assoc. 2022;11 (6):e023731. 14. Ambrosetti M., Abreu A., Corrà U., et al. Secondary prevention through cardiac rehabilitation. Eur J Prev Cardiol. 2021;28 (5):460-495. 15. Cowie M.R., Bax J., Bruining N., et al. e-Health: a position statement of the European Society of Cardiology. Eur Heart J. 2021;42 (24):2450- 2457.