TY - GEN

T1 - APPLICATION OF TELEMEDICINE TECHNOLOGIES IN CARDIAC REHABILITATION

AU - Мишина, Ирина Евгеньевна

AU - Березина, Елена Владимировна

AU - Блинова, Ксения Александровна

AU - Гудухин, Антон Александрович

AU - Копышева, Елена Николаевна

PY - 2025/5/21

Y1 - 2025/5/21

N2 - This prospective, controlled cohort study evaluates theeffectiveness of a telemedicine model of cardiac rehabilitation in patients afteracute myocardial infarction compared with a standard outpatient program, asdemonstrated by an increase in exercise tolerance.The study involved 53 patients who had suffered a myocardial infarction.Twenty-seven patients (50.9%) received telemedicine cardiac rehabilitation using the Accordix system for ECG monitoring, a 14-day aerobic training program, physiotherapy, psychological consultations, and recommendations for risk factor correction. Twenty-six patients (49.1%) formed the control group and received standard 2-week outpatient CR. Exercise tolerance was assessed by the distance in the six-minute walk test.The results showed that the initial distance was shorter in the study group(356 m) compared to the control group (390 m) (p < 0.05). After the cardiac rehabilitation program, a significant increase in the distance covered was notedin the study group (from 356 m to 448 m, p < 0.05), the increase in distance (72 m) was statistically significantly greater than in the control group (45 m) (p <0.05), and is clinically significant. Also, the time of maintaining the pulse within the training corridor increased in the telemedicine support group.Conclusions: Telemedicine CR using the Accordix system is an effectivealternative to standard outpatient CR, leading to a significant increase in exercise tolerance and training effectiveness in patients after acute myocardial infarction.

AB - This prospective, controlled cohort study evaluates theeffectiveness of a telemedicine model of cardiac rehabilitation in patients afteracute myocardial infarction compared with a standard outpatient program, asdemonstrated by an increase in exercise tolerance.The study involved 53 patients who had suffered a myocardial infarction.Twenty-seven patients (50.9%) received telemedicine cardiac rehabilitation using the Accordix system for ECG monitoring, a 14-day aerobic training program, physiotherapy, psychological consultations, and recommendations for risk factor correction. Twenty-six patients (49.1%) formed the control group and received standard 2-week outpatient CR. Exercise tolerance was assessed by the distance in the six-minute walk test.The results showed that the initial distance was shorter in the study group(356 m) compared to the control group (390 m) (p < 0.05). After the cardiac rehabilitation program, a significant increase in the distance covered was notedin the study group (from 356 m to 448 m, p < 0.05), the increase in distance (72 m) was statistically significantly greater than in the control group (45 m) (p <0.05), and is clinically significant. Also, the time of maintaining the pulse within the training corridor increased in the telemedicine support group.Conclusions: Telemedicine CR using the Accordix system is an effectivealternative to standard outpatient CR, leading to a significant increase in exercise tolerance and training effectiveness in patients after acute myocardial infarction.

KW - cardiac rehabilitation

KW - telemedicine

KW - acute myocardial infarction

KW - adherence to rehabilitation

KW - remote ECG monitoring

KW - six-minute walk test

U2 - 10.34660/INF.2025.68.57.013

DO - 10.34660/INF.2025.68.57.013

M3 - Conference contribution

SP - 69

EP - 75

BT - International Science Conference GLOBAL PERSPECTIVES IN SCIENCE, EDUCATION AND APPLIED RESEARCH

PB - Infinity

T2 - GLOBAL PERSPECTIVES IN SCIENCE, EDUCATION AND APPLIED RESEARCH

Y2 - 21 May 2025 through 21 May 2025

ER -