CARDIOREABILITATION OF PATIENTS WITH MYOCARDIAL INFARCTION

Authors

  • Abdullaeva U.K
  • Mavlonov B.O
  • Rakhimova M.B

Keywords:

acute myocardial infarction, cardiac rehabilitation, innovative rehabilitation strategies, intelligent medical technologies

Abstract

This article summarizes current data on the impact of cardiac rehabilitation (CR) on patients who have experienced an acute myocardial infarction (AMI), examines the barriers to its effective implementation, and assesses the potential of innovative strategies to expand the coverage and increase the effectiveness of CR programs. Cardiac rehabilitation is vital for post-AMI recovery, but it necessitates the development of strategies to increase participation and adherence to treatment. Future research should focus on optimizing CR strategies to provide more effective care for patients with heart disease. Technological advancements, in turn, are creating promising opportunities for developing more individualized and convenient CR programs.

References

Dibben G, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2021;11(11), Cd001800.

Zahedi M, Shirmohammadi M. The effect of cardiac rehabilitation on left and right ventricular function in post primary PCI patients. Ann Med Surg (Lond). 2022; 79, 104093.

Craciun LM, Buleu F, Pah AM, et al. The benefits of a comprehensive cardiac rehabilitation program for patients with acute coronary syndrome: A follow-up study. J Pers Med. 2023;13(10). https://doi.org/10.3390/jpm13101516.

Zhang P, Ge X, Li Z, et al. The proGnostic role of caRdiac rehAbilitation in patients with left ventriCular anEurysm formation after anterior myocardial infarction (the GRACE study): study rationale and design of a prospective randomized controlled trial. Front Cardiovasc Med. 2023;9.

Yaqoob A, Barolia R, Ladak L, Hanif A, Khan AH, Sahar W. Home-based cardiac rehabilitation: development, implementation and outcome evaluation in patients with coronary artery diseases in Lahore, Pakistan - A mixed-methods study protocol. BMJ Open. 2023;13(6).

Elfimov DA, Elfimova IV, Andreeva OV, Kosterin MD, Golubeva AA. Efficiency of remote monitoring of rehabilitation of patients after myocardial infarction. Vestnik Vosstanovitel’noj Mediciny. 2023;22(6):55–66.

Larina VN, Akhmatova FD, Arakelov SE, Mokhov AE, Doronina IM, Denisova NN. [Modern strategies for cardiac rehabilitation after myocardial infarction and percutaneous coronary intervention]. Kardiologiia. 2020;60(3):111–118.

Ritchey MD, Maresh S, McNeely J, et al. Tracking cardiac rehabilitation participation and completion among Medicare beneficiaries to inform the efforts of a national initiative. Circ Cardiovasc Qual Outcomes. 2020;13(1), e005902.

Park MS, Lee S, Ahn T, et al. Current status of cardiac rehabilitation among representative hospitals treating acute myocardial infarction in South Korea. PLoS One. 2021;16(12), e0261072.

Yu X, Fan Y, Sun X, Wang X, Guo Q, Fan Z. Outcomes of genetic testing-based cardiac rehabilitation program in patients with acute myocardial infarction after percutaneous coronary intervention. Cardiol Res Pract. 2022;2022, 9742071.

Rengo JL, Khadanga S, Savage PD, Ades PA. Response to exercise training during cardiac rehabilitation differs by sex. J Cardiopulm Rehabil Prev. 2020;40(5): 319–324.

Zhao S, Zu Y, Lu M, Jia X, Chen X. Effect of Tai Chi on cardiac function in patients with myocardial infarction: A protocol for a randomized controlled trial. Medicine (United States). 2021;100(42):E27446.

Li L, Zheng G, Zhu F, Che D. Application of Tai Chi in stage II cardiac rehabilitation after acute myocardial infarction: A case series. Asian J Surg. 2021;44(10): 1322–1323.

Yoon HM, Joo SJ, Boo KY, et al. Impact of cardiac rehabilitation on ventriculararterial coupling and left ventricular function in patients with acute myocardial infarction. PLoS One. 2024;19(4 April).

Bubnova MG, Aronov DM. Physical rehabilitation after acute myocardial infarction: focus on body weight. Russian J Cardiol. 2020;25(5):15–23.

Graham H, Prue-Owens K, Kirby J, Ramesh M. Systematic review of interventions designed to maintain or increase physical activity Post-cardiac rehabilitation phase II. Rehabil Process Outcome. 2020;9.

Sugiharto F, Nuraeni A, Trisyani Y, Melati Putri A, Aghnia Armansyah N. Barriers to participation in cardiac rehabilitation among patients with coronary heart disease after reperfusion therapy: A scoping review. Vasc Health Risk Manag. 2023;19:557–570.

Ruivo J, Moholdt T, Abreu A. Overview of Cardiac rehabilitation following post-acute myocardial infarction in European Society of Cardiology member countries. Eur J Prev Cardiol. 2023;30(9):758–768.

Hollings M, Zhao E, Weddell J, et al. Lower cardiac rehabilitation enrolment occurs in acute coronary syndrome patients who report low levels of physical activity at four weeks post-event: A prospective observational study using physical activity tracker data. Heart and Lung. 2024;64:143–148.

Graversen CB, Johansen MB, Eichhorst R, et al. Influence of socioeconomic status on the referral process to cardiac rehabilitation following acute coronary syndrome: A cross-sectional study. BMJ Open. 2020;10(4).

Wang X, Chen D, Zou P, et al. Understanding adaptive tasks in cardiac rehabilitation among patients with acute myocardial infarction: a qualitative study. Ann Med. 2024;56(1).

Li X, Zhao L, Xu T, et al. Cardiac telerehabilitation under 5G internet of things monitoring: a randomized pilot study. Sci Rep. 2023;13(1):18886.

Mitropoulos A, Anifanti M, Koukouvou G, Ntovoli A, Alexandris K, Kouidi E. Exploring the effects of real-time online cardiac telerehabilitation using wearable devices compared to gym-based cardiac exercise in people with a recent myocardial infarction: a randomised controlled trial. Front Cardiovasc Med. 2024;11.

Aronov DM, Bubnova MG. Cardiorehabilitation clinical efficacy depending on the duration of the rehabilitation program and the patient’s adherence. Rational Pharmacother Cardiol. 2024;20(2):233–240.

Cruz-Cobo C, Bernal-Jim´enez M, Calle-P´erez G, et al. Impact of mHealth application on adherence to cardiac rehabilitation guidelines after a coronary event: randomised controlled clinical trial protocol. Digit Health. 2024;10.

Goldstein DW, Hajduk AM, Song X, et al. Factors associated with cardiac rehabilitation participation in older adults after myocardial infarction: the SILVER-AMI STUDY. J Cardiopulm Rehabil Prev. 2022;42(2):109–114.

Chen W, Feng Y, Yu M, et al. Effects of different rehabilitation modality on cardiopulmonary function in patients with acute coronary syndrome after revascularization. Front Cardiovasc Med. 2023;10.

Kim KH, Jang YC, Song MK, Park HK, Choi IS, Han JY. Changes in aerobic capacity over time in elderly patients with acute myocardial infarction during cardiac rehabilitation. Ann Rehabil Med. 2020;44(1):77–84.

Eser P, Jaeger E, Marcin T, Herzig D, Trachsel LD, Wilhelm M. Acute and chronic effects of high-intensity interval and moderate-intensity continuous exercise on heart rate and its variability after recent myocardial infarction: A randomized controlled trial. Ann Phys Rehabil Med. 2022;65(1).

Baranyi A, Meinitzer A, von Lewinski D, et al. Sex-specific differences in trimethylamine N-oxide (TMAO) concentrations before and after Cardiac rehabilitation in acute myocardial infarction patients. EXCLI J. 2022;21:1–10.

Shah ZA, Jamal QM, Ullah N, Ahmad T, Ahmed M. Effectiveness of cardiac rehabilitation in myocardial infarction patients after percutaneous coronary intervention. Cureus. 2022;14(7):e26684.

Choi SB, Kim JH. Relationship between number of cardiac rehabilitation exercise training sessions, muscle mass, and cardiorespiratory fitness in rural elderly patients with coronary artery disease. J Multidiscip Healthc. 2023;16:3309–3318.

Zhang W, Supervia M, Dun Y, et al. The association between a second course of cardiac rehabilitation and cardiovascular outcomes following repeat percutaneous coronary intervention events. J Cardiopulm Rehabil Prev. 2023;43(2):101–108.

Yu H, Yang H. Effect of early home-based exercise for cardiac rehabilitation on the prognosis of patients with acute myocardial infarction after percutaneous coronary intervention. Am J Transl Res. 2021;13(7):7839–7847.

Nishihira K, Watanabe N, Kuriyama N, Shibata Y. Clinical outcomes of nonagenarians with acute myocardial infarction who undergo percutaneous coronary intervention. Eur Heart J Acute Cardiovasc Care. 2020;9(5):488–495.

Cojocariu SA, Maștaleru A, Sasc˘ au RA, et al. Relationships between psychoeducational rehabilitation and health outcomes—A systematic review focused on acute coronary syndrome. J Pers Med. 2021;11(34).

Song IS, Park YS, Jang SY, Nam JM, Lee CJ, Park EC. Impact of cardiac rehabilitation on cardiovascular event in Korea. Sci Rep. 2023;13(1):19146.

Li X, Wang G, Zhang Q, et al. Efficacy and safety of cardiac rehabilitation guided by CPET in ST-segment elevation myocardial infarction patients undergoing percutaneous coronary intervention. J Clin Cardiol. 2023;39(11):875–879.

Eijsvogels TMH, Maessen MFH, Bakker EA, et al. Association of Cardiac Rehabilitation with all-cause Mortality among patients with cardiovascular disease in the Netherlands. JAMA Netw Open. 2020;3(7), E2011686.

Besiroglu F, Sunbul M, Ozben B, et al. The effect of cardiac rehabilitation on left ventricular diastolic functions assessed by exercise stress echocardiography in patients with acute coronary syndrome. Marmara Med J. 2024;37(1):37–44.

Xiao M, Li Y, Guan X. Community-based physical rehabilitation after percutaneous coronary intervention for acute myocardial infarction. Tex Heart Inst J. 2021; 48(2).

Li Z, Hui Z, Zheng Y, Yu J, Zhang J. Efficacy of phase II remote home rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention. Contrast Media Mol Imaging. 2022:2022.

Hushcha P, Jafri SH, Malak MM, et al. Weight loss and its predictors during participation in cardiac rehabilitation. Am J Cardiol. 2022;178:18–25.

Vilela EM, Ladeiras Lopes R, Torres S, et al. Differential impact of a cardiac rehabilitation program on functional parameters in elderly versus non-elderly myocardial infarction survivors. Cardiology (Switzerland). 2020;145(2):98–105.

Isakadze N, Kim CH, Marvel FA, et al. Rationale and design of the mTECH-Rehab randomized controlled trial: impact of a mobile technology enabled Corrie cardiac rehabilitation program on functional status and cardiovascular health. J Am Heart Assoc. 2024;13(2), e030654.

Smith M, Orchard J, A La Gerche, Gallagher R, Fit Fitzpatrick J. Female or fifty-is cardiac rehabilitation "fit" for purpose for all? A systematic review and metaanalysis with meta-regression. Front Cardiovasc Med. 2022;9, 764882.

Kamel H, Hafez MS, Telemedicine Bastawy I. Improves the short-term medical care of acute ST-segment elevation myocardial infarction after primary percutaneous coronary intervention. Front Cardiovasc Med. 2021;8, 693731.

Wu Y, Li Q, Zhao D, Yang Y, Zhu L. Formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronary artery disease. Chine J Nurs. 2022;57(4):395–400.

Li X, Zhao L, Xu T, et al. Cardiac telerehabilitation under 5G internet of things monitoring: a randomized pilot study. Sci Rep. 2023;13(1).

Comprehensive digital health intervention to improve delivery of cardiac rehabilitation. In: Macfarlane Z, Gao Y, Isakadze N, Spaulding E, Marvel F, Martin S, eds. Proceedings - 2021 IEEE/ACM Conference on Connected Health: Applications, Systems and Engineering Technologies, CHASE 2021. Institute of Electrical and Electronics Engineers Inc; 2021.

Published

2026-09-09