COMPARATIVE CHARACTERISTICS OF INPATIENT AND OUTPATIENT CARDIAC REHABILITATION IN PATIENTS AFTER ACUTE CORONARY SYNDROME

Authors:

Abstract:

Cardiovascular diseases remain the leading cause of mortality in Ukraine, so effective rehabilitation after acute coronary syndrome is essential for restoring health and preventing repeat events. The purpose of the study was to compare the effectiveness of the inpatient and outpatient stages of cardiac rehabilitation. 60 patients after acute coronary syndrome who underwent various recovery programs were examined. Exercise tolerance, left ventricular ejection fraction, resting heart rate, anxiety level, quality of life, and treatment adherence were assessed. Inpatient rehabilitation improved clinical outcomes and increased therapy adherence, while outpatient rehabilitation contributed to further improvements in physical condition, emotional balance, and quality of life. Combining both stages into a single continuous system provides a sustained rehabilitation effect and increases treatment effectiveness.

Keywords:

acute coronary syndrome cardiac rehabilitation inpatient stage outpatient stage treatment adherence

References:

1. Abegaz TM, Shehab A, Gebreyohannes EA, Bhagavathula AS, Elnour AA. Nonadherence to antihypertensive drugs: a systematic review. Medicine (Baltimore). 2017;96(4):e5641. doi:10.1097/MD.0000000000005641.
2. Ades PA. Cardiac rehabilitation and secondary prevention of coronary heart disease. N Engl J Med. 2017;376(20):1948–1959. doi:10.1056/NEJMra1605680.
3. Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. J Am Coll Cardiol. 2016;67(1):1–12. doi:10.1016/j.jacc.2015.10.044.
4. Anderson L, Sharp GA, Norton RJ, Dalal H, Dean SG, Jolly K, et al. Home-based versus centre-based cardiac rehabilitation in heart failure: systematic review and meta-analysis. Eur J Prev Cardiol. 2021;28(8):928–938. doi:10.1177/2047487320903561.
5. Grace SL, Turk-Adawi KI, Contractor A, Atrey A, Campbell NCR, Derman W, et al. Cardiac rehabilitation delivery model and outcomes: an international perspective. Heart. 2018;104(18):1473–1480. doi:10.1136/heartjnl-2017-312901.
6. Kini V, Ho PM. Interventions to improve medication adherence: a review. JAMA. 2018;320(23):2461–2473. doi:10.1001/jama.2018.19271.
7. Kudria IP, Shevchenko TI, Voroshilova TA, Tretiak NH, Kryvoruchko IH, Pushko OO, et al. Detection and assessment of disorders of the depressive spectrum in patients with acute myocardial infarction depending on the method of treatment. World Med Biol [Internet]. 2022;(4):107–111. doi:10.26724/2079-8334-2022-4-82-107-111.
8. Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens. 2008;10(5):348–354. doi:10.1111/j.1751-7176.2008.07572.x.
9. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al. Comprehensive cardiac rehabilitation: European Association of Preventive Cardiology position paper. Eur J Prev Cardiol. 2020;27(12):1337–1357. doi:10.1177/2047487320913379.
10. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. European guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the ESC and Other Societies. Eur Heart J. 2021;42(34):3227–3337. doi:10.1093/eurheartj/ehab484.
11. Rauch B, Neumann K, Rücker V, Gohlke H, Schwaab B, Meier P, et al. Effects of cardiac rehabilitation on mortality and morbidity: systematic review and meta-analysis. Eur J Prev Cardiol. 2016;23(8):815–826. doi:10.1177/2047487315588391.
12. Rauch B, Davos CH, Doherty P, Saure D, Metzendorf MI, Salzwedel A, et al. The prognostic effect of cardiac rehabilitation in the modern era: the EAPC Cardiac Rehabilitation Registry. Eur J Prev Cardiol. 2022;29(5):715–724. doi:10.1093/eurjpc/zwab061.
13. Taylor RS, Dalal HM, Jolly K, Moxham T, Zawada A, Dean SG, et al. Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst Rev. 2020;8:CD007130. doi:10.1002/14651858.CD007130.pub4.

Publication:

«World of Medicine and Biology» Vol. 21 No. 94 (2025) , с. 122-126
УДК 616.12-008.331.1-085.844

DOI:

https://doi.org/10.26724/2079-8334-2025-4-94-122-126