急性心肌梗死患者心脏康复的进展、挑战和创新策略：系统综述。

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2024-11-19 DOI:10.1016/j.cpcardiol.2024.102934

Sisheng Zhang, Yuhui Lin

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引用次数: 0

摘要

目的：综合当前有关心脏康复（CR）对急性心肌梗死（AMI）患者影响的证据，探讨有效开展心脏康复的障碍，并评估创新策略的潜力，以提高心脏康复计划的覆盖面和有效性：本系统性综述分析了 2020-2024 年间的文献，重点关注急性心肌梗死患者 CR 方面的进展和挑战。采用 "心脏康复 "和 "心肌梗死 "为关键词的综合检索策略，涵盖了各种研究设计：结果：心脏康复能明显改善急性心肌梗死患者的心血管预后，但也面临着参与率低和坚持治疗等挑战。家庭康复和数字健康干预等创新策略已显示出提高患者参与度和疗效的潜力：CR 对急性心肌梗死患者的康复至关重要，但需要采取策略提高参与度和依从性。未来的研究应侧重于优化 CR 策略，以更好地服务于心脏病患者群体。技术进步为更个性化、更方便的 CR 计划提供了前景广阔的途径。

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Advancements, challenges, and innovative strategies in cardiac rehabilitation for patients with acute myocardial infarction: A systematic review

Objects

To synthesize current evidence on the impact of cardiac rehabilitation (CR) on acute myocardial infarction (AMI) patients, explore the barriers to effective CR delivery, and evaluate the potential of innovative strategies to enhance the reach and effectiveness of CR programs.

Methods

This systematic review analyzed literature from 2020–2024, focusing on advancements and challenges in CR for AMI patients. A comprehensive search strategy was applied using key terms "cardiac rehabilitation" and "myocardial infarction," encompassing a variety of study designs.

Results

CR significantly improves cardiovascular outcomes in AMI patients, yet faces challenges including low participation rates and adherence issues. Innovative strategies, such as home-based rehabilitation and digital health interventions, have shown potential in enhancing patient engagement and outcomes.

Conclusion

CR is vital for AMI recovery but requires strategies to improve participation and adherence. Future research should focus on optimizing CR strategies to better serve the heart disease patient population. Technological advancements offer promising avenues for more personalized and accessible CR programs.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.