Restorative treatment and rehabilitation of patients after acute coronary syndrome: scientific determinants and practical implementation

Abstract

At the present stage, special attention is paid to the improvement of the treatment of patients after acute coronary syndrome with the development of an individual approach to the restorative treatment and rehabilitation. The search for new science-based programs is based on a comprehensive approach, taking into account the medical, physical and psychological peculiarities of each patient with the possibility of their implementation both in-patient and outpatient care.
The aim of the work. To analyze the effectiveness of restorative treatment and rehabilitation of patients after acute coronary syndrome, depending on the applied methods of revascularization and restorative treatment programs.
Materials and methods. The dynamics of acute coronary syndrome in Ivano-Frankivsk region in the period between 2014-2019 was analyzed, the effectiveness of the developed rehabilitation program in patients with ACS depending on the applied method of revascularization and rehabilitation was evaluated. The dynamics of the clinical course, levels of anxiety, quality of life and long-term consequences of the disease have been studied.
Results. Analysis of the dynamics of acute coronary syndrome in Ivano-Frankivsk region indicates a stable percentage of patients during 2014-2019, with an increase in the number of patients who have been performed percutaneous coronary interventions. The application of the developed program of restorative treatment of patients contributed to the correction of clinical and psychological characteristics of patients, as well as the improvement of the quality of life, which provides a positive impact on long-term consequences of the disease, preventing sudden coronary death occurrence, recurrent myocardial infarction and hospitalization. A clinical-organizational model of the performance of rehabilitation and restorative treatment in patients with acute coronary syndrome has been developed.
Conclusions. The dynamics of the main indices of health of the Ivano-Frankivsk region’s population indicates a number of peculiarities, that necessitates to improve care for patients with acute coronary syndrome. The developed program of restorative treatment of patients with acute coronary syndrome with the elevation of ST segment after percutaneous coronary intervention is characterized by the improved clinical course of the disease, reduction of anxiety and improvement of patients’ life quality. This strategy provides a multidisciplinary approach taking into account the clinical, psychological elements, components of health attitude, and it implements the medical, physical and psychological components of a comprehensive approach regarding care for such patients.