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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Rehabilitation Medicine</journal-id><journal-title-group><journal-title>Bulletin of Rehabilitation Medicine</journal-title></journal-title-group><issn publication-format="print">2078-1962</issn><issn publication-format="electronic">2713-2625</issn><publisher><publisher-name>National Medical Research Center for Rehabilitation and Balneology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">627439</article-id><article-id pub-id-type="doi">10.38025/2078-1962-2023-22-6-55-66</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Efficiency of Remote Monitoring of Rehabilitation of Patients after Myocardial Infarction</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Elfimov</surname><given-names>Dmitriy A.</given-names></name><bio>&lt;p&gt;Cand. Sci (Med.), Associate Professor, Department of Faculty Therapy&lt;/p&gt;</bio><email>iyelfimova@mail.ru</email><uri content-type="orcid">https://orcid.org/0000-0003-4875-1244</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Elfimova</surname><given-names>Irina V.</given-names></name><bio>&lt;p&gt;Cand. Sci (Med.), Associate Professor, Department of Medical Prevention and Rehabilitation&lt;/p&gt;</bio><email>elfimovaiv@tyumsmu.ru</email><uri content-type="orcid">https://orcid.org/0000-0002-4724-0664</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kosterin</surname><given-names>Mikhail D.</given-names></name><bio>&lt;p&gt;a 5th-year student of the Institute of Clinical Medicine&lt;/p&gt;</bio><email>elfimovaiv@tyumsmu.ru</email><uri content-type="orcid">https://orcid.org/0009-0008-5271-5071</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Golubeva</surname><given-names>Alyona A.</given-names></name><bio>&lt;p&gt;a 5th-year student of the Institute of Clinical Medicine&lt;/p&gt;</bio><email>elfimovaiv@tyumsmu.ru</email><uri content-type="orcid">https://orcid.org/0009-0000-7069-3429</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Andreeva</surname><given-names>Olga V.</given-names></name><bio>&lt;p&gt;Head of the Rehabilitation Department&lt;/p&gt;</bio><email>elfimovaiv@tyumsmu.ru</email><uri content-type="orcid">https://orcid.org/0000-0002-3542-0764</uri><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">Tyumen State Medical University</aff><aff id="aff-2">Municipal Polyclinic No. 17</aff><pub-date date-type="epub" iso-8601-date="2024-02-26" publication-format="electronic"><day>26</day><month>02</month><year>2024</year></pub-date><volume>22</volume><issue>6</issue><fpage>55</fpage><lpage>66</lpage><history><pub-date date-type="received" iso-8601-date="2024-02-25"><day>25</day><month>02</month><year>2024</year></pub-date><pub-date date-type="accepted" iso-8601-date="2024-02-25"><day>25</day><month>02</month><year>2024</year></pub-date></history><permissions><copyright-statement>Copyright © 2024, Elfimov D.A., Elfimova I.V., Kosterin M.D., Golubeva A.A., Andreeva O.V.</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>&lt;p&gt;&lt;strong&gt;INTRODUCTION&lt;/strong&gt;. Rehabilitation of cardiac patients is based on a set of measures of a rehabilitation nature (medical, physical, social, psychological and pedagogical). The purpose of this type of activity is aimed at restoring health as much as possible in a particular case, as well as psychological status. Despite widespread urbanization, the share of rural residents still remains significant and amounts to 25.1 %. They face limited access to health care more often than urban populations. This is especially true for the population of remote areas.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;AIM. &lt;/strong&gt;Evaluation of the effectiveness of the use of remote technologies during rehabilitation measures in patients who have suffered an acute myocardial infarction.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;MATERIALS AND METHODS. &lt;/strong&gt;The study included 200 patients who had suffered acute myocardial infarction, receiving outpatient rehabilitation at the City Clinic No. 17, living in the city of Tyumen. The patients were divided into two equal groups of 100 people. The average duration of treatment in both groups was 21 days. The rehabilitation program included a therapeutic and physical training complex, which took place in a face-to-face group as part of joint classes, and in a remote group — at home using video instructions, previously sent by email.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;RESULTS AND DISCUSSION. &lt;/strong&gt;Rehabilitation with the use of remote technologies showed a result comparable to the full-time program. In both groups, there is a statistically significant improvement in the indicators of the Rankin, and rehabilitation routing scales. However, according to the Aronov scale, positive changes are present only in the remote group.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;CONCLUSION. &lt;/strong&gt;Based on the results of the study, a conclusion was made about the comparable effectiveness of cardiac rehabilitation in full-time and remote groups. This suggests that biomedical technologies can be used in the implementation of cardiac rehabilitation programs in areas remote from large settlements.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>cardiac rehabilitation</kwd><kwd>physical therapy</kwd><kwd>outpatients</kwd><kwd>health services accessibility</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>кардиореабилитация</kwd><kwd>лечебная физкультура</kwd><kwd>амбулаторные пациенты</kwd><kwd>доступная медицинская помощь</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Kristian T., Alpert J.S., Jaffe A.S. et al. Четвертое универсальное определение инфаркта миокарда (2018). Российский кардиологический журнал. 2019; 24(3): 107–138. https://doi.org/10.1161/cir.0000000000000617 [Fourth universal definition of myocardial infarction (2018) Russian Journal of Cardiology. 2019; 24(3):107–138. https://doi.org/10.1161/cir.0000000000000617 (In Russ.).]</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Akpinar F.M., Oral A. Does Exercise-Based Cardiac Rehabilitation Reduce Mortality and Hospitalization Rates After Heart Valve Surgery? A Cochrane Review Summary with Commentary. American Journal of Physical Medicine &amp; Rehabilitation. 2023; 102(2): 169–171. https://doi.org/10.1097/phm.0000000000002129</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Aydin N.S. et al. Effects of hospital-based cardiac rehabilitation and home-based exercise program in patients with previous myocardial infarction. Cumhuriyet Medical Journal. 2018; 40(1): 34–42. https://doi.org/10.7197/223.vi.407614</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Choi H.Y. et al. Superior effects of high-intensity interval training compared to conventional therapy on cardiovascular and psychological aspects in myocardial infarction. Annals of rehabilitation medicine. 2018; 42(1): 145–153. https://doi.org/10.5535/arm.2018.42.1.145</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Copotoiu M. et al. Is Physical Therapy the Early Solution for PostAcute Myocardial Infarction Patients? A Meta-Analysis. Journal of Interdisciplinary Medicine. 2020; 5(4): 141–145. https://doi.org/10.2478/jim-2020-0026</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Dagner V., Clausson E.K., Jakobsson L. Prescribed physical activity maintenance following exercise based cardiac rehabilitation: factors predicting low physical activity. European Journal of Cardiovascular Nursing. 2019; 18(1): 21–27. https://doi.org/10.1177/1474515118783936</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Dibben G.O., Faulkner J., Oldridge N. et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis. European Heart Journal. 2023; 44(6): 452–469. https://doi.org/10.1093/eurheartj/ehac747</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Ekblom O., Ek A., Cider A. et al. Increased physical activity post-myocardial infarction is related to reduced mortality: results From the SWEDEHEART Registry. Journal of the American Heart Association. 2018; 7(24): e010108. https://doi.org/10.1161/jaha.118.010108</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Ganna M. et al. Evaluation of the Impact of Cardiac Rehabilitation Program on Post-MI Patients, Egyptian Experience. The Medical Journal of Cairo University. 2022; 90(9): 1451–1457. https://doi.org/10.21608/mjcu.2022.264600</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Goldstein D.W., Hajduk A.M., Song X. et al. Factors associated with cardiac rehabilitation participation in older adults after myocardial infarction: THE SILVER-AMI STUDY. Journal of Cardiopulmonary Rehabilitation and Prevention. 2022; 42(2): 109–114. https://doi.org/10.1097/hcr.0000000000000627</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Hurdus B., Munyombwe T., Donndo T. et al. Association of cardiac rehabilitation and healthrelated quality of life following acute myocardial infarction. Heart. 2020; 106(22): 1726–1731. https://doi.org/10.1136/heartjnl-2020-316920</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Ivana D., Tjahjono C.T. Cardiac Rehabilitation to Prevent Rehospitalization in Myocardial Infarction Patients. Clinical and Research Journal in Internal Medicine. 2022; 3(2): 324–331. https://doi.org/10.21776/ub.crjim.2022.003.02.6</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Korzeniowska-Kubacka I., Bilinska M., Piotrowska D. et al. Impact of exercise-based cardiac rehabilitation on attitude to the therapy, aims in life and professional work in patients after myocardial infarction. Medycyna Pracy. 2018; 70(1): 1–7. https://doi.org/10.13075/mp.5893.00701</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Muminović Ž., Ivanuša M. Cardiovascular rehabilitation dose for patients after their first myocardial infarction. Cardiologia Croatica. 2022; 17(9–10): 336. https://doi.org/10.15836/ccar2022.336</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Nabutovsky I., Levin C., Yeshayahu S. et al. Rehabilitation of the unmotivated: remote cardiac rehabilitation among patients of all risk levels who reported unwillingness to participate in hospital-based rehabilitation. European Journal of Preventive Cardiology. 2022; 29(1): 056.307. https://doi.org/10.1093/eurjpc/zwac056.307</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Novaković M., Rajkovic U., Kosuta D. et al. Effects of Cardiac Rehabilitation and Diet Counselling on Adherence to the Mediterranean Lifestyle in Patients after Myocardial Infarction. Nutrients. 2022; 14(19): 4048. https://doi.org/10.3390/nu14194048</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Seron P., Oliveros M.-J., Gutierrez-Arias R. et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview. Physical therapy. 2021; 101(6): 053. https://doi.org/10.1093/ptj/pzab053</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Tudor C.L., Dhinagaran D.A., Kyaw B.M. et al. Conversational agents in health care: scoping review and conceptual analysis. Journal of medical Internet research. 2020; 22(8): e17158. https://doi.org/10.2196/17158</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Ul-Haq Z., Khan D., Hisam A. et al. Effectiveness of cardiac rehabilitation on healthrelated quality of life in patients with myocardial infarction in Pakistan. Journal of the College of Physicians and Surgeons — Pakistan. 2019; 29(9): 803–809. https://doi.org/10.29271/jcpsp.2019.09.803</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Waite I., Pearson C., Greenwood S. Morbidity and Mortality Following Heart Failure Rehabilitation: The Effect of Programme Completion and 6-min Walk Test Distance. Clinical Rehabilitation. 2023; 37(8): 1052–1061. https://doi.org/10.1177/02692155231154127</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Xiao M., Li Y., Guan X. Community-based physical rehabilitation after percutaneous coronary intervention for acute myocardial infarction. Texas Heart Institute Journal. 2021; 48(2): e197103. https://doi.org/10.14503/thij-19-7103</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Xing Y., Yang S.-D., Wang M.-M. et al. The beneficial role of exercise training for myocardial infarction treatment in elderly. Frontiers in physiology. 2020; 11: 270. https://doi.org/10.3389/fphys.2020.00270</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Zheng X., Zheng Y., Ma J. et al. Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: a systematic review and meta-analysis. Heart &amp; Lung. 2019; 48(1): 1–7. https://doi.org/10.1016/j.hrtlng.2018.09.011</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Τrevlaki E., Zarra E., Trevlakis E. et al. Effect of exercise-based cardiac rehabilitation on cardio metabolic risk profile at patients after Myocardial Infarction. International Journal of Science and Research Archive. 2022; 7(1): 160–165. https://doi.org/10.30574/ijsra.2022.7.1.0195</mixed-citation></ref></ref-list></back></article>
