Readiness of patients after acute coronary syndrome and coronary revascularization to participate in cardiorehabilitation programs

Abstract

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.