Features of management and clinical course of the early rehabilitation period after acute coronary syndrome

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Abstract

Acute coronary syndrome remains one of the leading causes of mortality and disability worldwide, particularly in low- and middle-income countries. This review analyzes current approaches to cardiac rehabilitation in patients after acute coronary syndrome, with a focus on epidemiology, clinical features, and innovative strategies for cardiac rehabilitation programs. Key components of cardiac rehabilitation include physical activity, psychotherapeutic interventions, dietary therapy, and pharmacological treatment, all of which require a personalized approach to improve clinical outcomes. Special attention is given to gender differences in acute coronary syndrome progression and access to rehabilitation programs, as well as the impact of the COVID-19 pandemic on disease trends. Recent studies demonstrating the effectiveness of integrating digital technologies, telemedicine, and mobile applications into cardiac rehabilitation programs are reviewed. Both traditional rehabilitation methods and innovative approaches—including high-intensity interval training and the Mediterranean diet—are discussed, offering new perspectives for designing rehabilitation programs. Despite the proven effectiveness of cardiac rehabilitation, its implementation remains limited due to low patient adherence and insufficient accessibility in resource-limited regions. New clinical guidelines on optimizing rehabilitation strategies, aimed at reducing the risk of recurrent complications and improving patients’ quality of life, are currently under development.

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About the authors

Arslan A. Gallamshin

Bashkir State Medical University

Author for correspondence.
Email: formedkey@mail.ru
ORCID iD: 0009-0001-7788-6116
Russian Federation, Ufa

Iulai A. Mutallapov

Bashkir State Medical University

Email: 89871413659a@gmail.com
ORCID iD: 0009-0001-1116-6490
Russian Federation, Ufa

Shoira Matzhanova

Bashkir State Medical University

Email: matzanovasoira@gmail.com
ORCID iD: 0009-0006-6552-0471
Russian Federation, Ufa

Malika Babazhanova

Bashkir State Medical University

Email: babajanovamalika93@gmail.com
ORCID iD: 0009-0003-3704-9123
Russian Federation, Ufa

Victoria G. Mkhitaryan

Bashkir State Medical University

Email: viktoriagamletovna@mail.ru
Russian Federation, Ufa

Sayriddin L. Umirov

Bashkir State Medical University

Email: sairiddinumirov@gmail.com
ORCID iD: 0009-0008-8144-5875
Russian Federation, Ufa

Sabina R. Tavlykaeva

Bashkir State Medical University

Email: sabina.tavlykaeva@gmail.com
ORCID iD: 0009-0005-2144-1280
Russian Federation, Ufa

Mirzonazim D. Davlatov

Bashkir State Medical University

Email: mirzonozim2019@gmail.com
ORCID iD: 0009-0002-6912-9710
Russian Federation, Ufa

Angelina V. Dubovik

Bashkir State Medical University

Email: aswlz@yandex.ru
ORCID iD: 0009-0000-8893-2125
Russian Federation, Ufa

Veronika I. Makarova

Bashkir State Medical University

Email: Vm23eronika@gmail.com
ORCID iD: 0009-0002-0545-6798
Russian Federation, Ufa

Angelina S. Rodionova

Bashkir State Medical University

Email: Rodionovaangelina5320@gmail.com
ORCID iD: 0009-0002-5809-9608
Russian Federation, Ufa

Airat R. Latypov

Bashkir State Medical University

Email: Shazzam02@mail.ru
ORCID iD: 0009-0009-6401-8123
Russian Federation, Ufa

Rafil R. Fatrahmanov

Kazan State Medical University

Email: rafilfatrahmanov@gmail.com
ORCID iD: 0009-0007-7873-8557
Russian Federation, Kazan

Islamiya I. Galimullina

Kazan State Medical University

Email: Islamiya.galimullina.01@bk.ru
ORCID iD: 0009-0002-7804-1868
Russian Federation, Kazan

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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