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.

Aim. The purpose of the study is to conduct a comparative analysis of the effectiveness of physical aerobic training in the mode of interval and constant loads in patients who have had a myocardial infarction with subsequent percutaneous coronary intervention. Materials and methods. 35 patients aged from 46 to 67 years old were examined in the process of passing a 3-week course of physical rehabilitation in a day hospital. Of these, 18 people (group 1) performed daily training on cardiovascular machines in the mode of interval loads, 17 people (group 2) - in the mode of moderate loads with constant intensity. Results. When conducting physical training in different training regimens, both groups of patients showed an improvement in exercise tolerance. At the same time, the interval training as compared to the constant intensity training provided a more pronounced training effect on the cardiorespiratory system due to high-intensity loading phases and at the same time a low level of hemodynamic load due to the presence of relatively low-intensity phases. Conclusion. Interval training is preferred in patients who have had a myocardial infarction followed by percutaneous coronary intervention, due to their high efficacy and safety.