OPTIMIZATION OF CARDIOREHABILITATION PROGRAMS AFTER MYOCARDIAL INFARCTION, TAKING INTO ACCOUNT PHYSICAL AND PSYCHOEMOTIONAL COMPONENTS.

Abstract

The purpose of the study is to evaluate the effectiveness of the optimized cardiorehabilitation program after myocardial infarction with the integration of physical and psycho-emotional components. The study included 138 patients (58.2 ± 8.6 years old) who had a myocardial infarction. The main group (n=72) underwent a comprehensive program including physical training and psycho-emotional support, while the control group (n=66) underwent standard rehabilitation.

After six months, in the main group, an improvement in ejection fraction (48.2 to 53.6%, p<0.001), a decrease in NT-proBNP (-28%, p<0.001) and HR-CRP (-35%, p<0.001), as well as an increase in load tolerance (+68 m, p<0.001) were noted. Anxiety and stress decreased by more than 30%, and the quality of life according to SF-36 improved by 26%. The frequency of repeated hospitalizations decreased to 3.2%, and the proportion of patients with recovery of blood pressure >55% increased to 63%.

The optimized program has proven high clinical and psycho-emotional effectiveness and can be recommended for implementation in cardiorehabilitation practice.