Современные стратегии кардиореабилитации после инфаркта миокарда и чрескожного коронарного вмешательства
Аннотация
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.
Об авторах
В. Н. Ларина
Российский Национальный Исследовательский Медицинский Университет им. Н.И. Пирогова
Россия
кафедра поликлинической терапии лечебного факультета, заведующая
Россия
кафедра поликлинической терапии лечебного факультета, заведующая
Ф. Д. Ахматова
Российский Национальный Исследовательский Медицинский Университет им. Н.И. Пирогова
Россия
к.м.н., доцент, кафедра поликлинической терапии лечебного факультета
Россия
к.м.н., доцент, кафедра поликлинической терапии лечебного факультета
С. Э. Аракелов
ГБУЗ ГКБ№13 ДЗМ
Россия
д.м.н., главный врач 13 ГКБ
Россия
д.м.н., главный врач 13 ГКБ
А. Е. Мохов
ГБУЗ ГКБ№13 ДЗМ
Россия
зав. отделения реанимации и интенсивной терапии
Россия
зав. отделения реанимации и интенсивной терапии
И. М. Доронина
ГБУЗ ГКБ№13 ДЗМ
Россия
врач отделения ультразвуковой диагностики №2
Россия
врач отделения ультразвуковой диагностики №2
Н. Н. Денисова
ГБУЗ ГКБ№13 ДЗМ
Россия
заведующая клинико-диагностической лабораторией
Россия
заведующая клинико-диагностической лабораторией
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Рецензия
При поддержке: все авторы заявляют об отсутствии конфликта интересов
Для цитирования:
Ларина В.Н., Ахматова Ф.Д., Аракелов С.Э., Мохов А.Е., Доронина И.М., Денисова Н.Н. Современные стратегии кардиореабилитации после инфаркта миокарда и чрескожного коронарного вмешательства. Кардиология. 2020;60(3):111-118. https://doi.org/10.18087/cardio.2020.3.n546
For citation:
Larina V.N., Akhmatova F.D., Arakelov S.E., Mokhov A.E., Doronina I.M., Denisova N.N. Modern strategies for cardiac rehabilitation after myocardial infarction and percutaneous coronary intervention. Kardiologiia. 2020;60(3):111-118. (In Russ.) https://doi.org/10.18087/cardio.2020.3.n546
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