Rehabilitation measures lead to an increase in the duration and quality of life of patients. The current trend towards intensification of the treatment process, early discharge of patients from hospital, as well as the duration of cardio rehabilitation programs, raises the question about the place of their implementation. The purpose of this work was to assess the readiness of patients who have undergone acute coronary syndrome (ACS) and coronary revascularization to undergo rehabilitation programs, including the use of remote technologies. The study was multicenter, conducted in hospitals of Ivanovo, Voronezh and Omsk, using a single original questionnaire agreed by the researchers. 232 patients were examined, including 124 patients with myocardial infarction, 59 patients with unstable stenocardia and 49 patients who underwent coronary revascularization. The results of the study indicate that the majority of patients who have undergone acute coronary syndrome and coronary revascularization are ready to undergo cardio rehabilitation programs, but, as a rule, in hospital or sanatorium environments. Only half of the interviewed patients have access to the Internet and know how to use it, and only 15% of the respondents are ready to undergo rehabilitation remotely. Remote ways of communicating with patients and monitoring the implementation of rehabilitation programs require both improving the ways of their technical support and raising awareness and training of patients to work with mobile devices and registrars.

Aim. To describe modern opinions about the role of remote technologies in the dispensary observation of patients with cardiovascular diseases. Materials and methods. The data of 57 scientific sources published in the russian and foreign press in 1984-2018 are considered. Results and conclusion. It is generally recognized that patients with myocardial infarction need cardiac rehabilitation, but the frequency of their participation in its programs remains low due to transport problems, unwillingness to leave home due to anxiety and depression, and to change the mode of the day due to the need for ambulant visits, etc. Modern achievements of telemedicine solve these problems and allow doctors to monitor the status of patients remotely. All types of telemetry devices have some advantages: external cardiomonitoring systems in real time quickly collect and transmit the most complete information without the participation of the patient, standard non-loop and loop recorders are inexpensive and widely available, and adhesive patch recorders are very easy to use and increase compliance. The use of mobile applications and SMS in the framework of remote cardiorehabilitation has not been sufficiently studied, but data on their effectiveness in correcting the behavior of patients have already been collected. Experts have not yet come to a consensus on the effectiveness of complex tele-cardiorehabilitation, including telemetry, telecoaching and teleconsulting, but many studies have shown that it is a worthy alternative to traditional rehabilitation programs, as it has higher rates of attendance.