CARDIAC REHABILITATION AND RISK MANAGEMENT OF COMPLICATIONS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Authors

  • Tanya Popova Medical University Sofia, Bulgaria, Faculty of Public Health, Department of Health Care, Sofia, Bulgaria
  • Dimitrina Blagoeva Medical University Sofia, Bulgaria, Faculty of Public Health, Department of Health Care, Sofia, Bulgaria

Keywords:

cardiac rehabilitation, acute myocardial infarction, risk, management

Abstract

The World Health Organization qualifies Bulgaria as a country with a very high risk of mortality due to cardiovascular diseases. To overcome this negative statistic, effective primary prevention and motivation to change the behavior and lifestyle of the population is needed. Effective coordination and collaboration between primary care facilities, Emergency Medical Centers and 24/7 interventional facilities is important. After that, in order to reduce future complications and an unfavorable outcome of the disease, it is necessary to carry out effective cardiac rehabilitation. Cardiac rehabilitation is defined as a multidisciplinary approach, including effective management and control of risk factors, health education, counseling and providing psychological support to cardiac patients. The aim of the study is to analyze the existing clinical guidelines for cardiac rehabilitation and, based on the scientific data, to summarize the need to develop a Model for the management of the risk of complications in patients with acute myocardial infarction, intended for health care professionals. Materials and methods: For this purpose, a documentary method was used and the specialized medical literature concerning the studied problem was studied. Based on keywords (cardiorehabilitation, secondary prevention of cardiovascular diseases, risk prevention after experienced myocardial infarction, a model for prevention and risk management in acute myocardial infarction, Guidelines for the management of acute myocardial infarction) we performed a systematic search in electronic databases and systematized the materials found. Findings and conclusion: There is convincing evidence in the scientific literature for the importance of conducting cardiac rehabilitation in order to prevent future complications, and the involvement of nurses and their benefit has been proven positive. There is a need to develop a risk management model that combines the separate elements of conducting cardiac rehabilitation in patients with acute myocardial infarction and is in line with the modern recommendations of the European Society of Cardiology for conducting cardioprophylaxis.

References

Ambrosetti, M., Abreu, A., Corrà, U., Davos, C. H., Hansen, D., Frederix, I., Iliou, M. C., Pedretti, R. F. E., Schmid, J. P., Vigorito, C., Voller, H., Wilhelm, M., Piepoli, M. F., Bjarnason-Wehrens, B., Berger, T., Cohen-Solal, A., Cornelissen, V., Dendale, P., Doehner, W., Gaita, D., & Zwisler, A. O. (2021). Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. European journal of preventive cardiology, 28(5): 460–495. https://doi.org/10.1177/2047487320913379

Anderson, L., Oldridge, N., Thompson, D. R., Zwisler, A. D., Rees, K., Martin, N., & Taylor, R. S. (2016). Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 67(1): 1–12. https://doi.org/10.1016/j.jacc.2015.10.044

Collet, J. P., Thiele, H., Barbato, E., Barthélémy, O., Bauersachs, J., Bhatt, D. L., Dendale, P., Dorobantu, M., Edvardsen, T., Folliguet, T., Gale, C. P., Gilard, M., Jobs, A., Jüni, P., Lambrinou, E., Lewis, B. S., Mehilli, J., Meliga, E., Merkely, B., Mueller, C., … ESC Scientific Document Group (2021). 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. European heart journal. 42(14): 1289–1367. https://doi.org/10.1093/eurheartj/ehaa575

Ibanez, B., James, S., Agewall, S., Antunes, M. J., Bucciarelli-Ducci, C., Bueno, H., Caforio, A. L. P., Crea, F., Goudevenos, J. A., Halvorsen, S., Hindricks, G., Kastrati, A., Lenzen, M. J., Prescott, E., Roffi, M., Valgimigli, M., Varenhorst, C., Vranckx, P., Widimský, P., & ESC Scientific Document Group (2018). 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). European heart journal. 39(2): 119–177. https://doi.org/10.1093/eurheartj/ehx393

Krychtiuk, K. A., Ahrens, I., Drexel, H., Halvorsen, S., Hassager, C., Huber, K., Kurpas, D., Niessner, A., Schiele, F., Semb, A. G., Sionis, A., Claeys, M. J., Barrabes, J., Montero, S., Sinnaeve, P., Pedretti, R., & Catapano, A. (2022). Acute LDL-C reduction post ACS: strike early and strike strong: from evidence to clinical practice. A clinical consensus statement of the Association for Acute CardioVascular Care (ACVC), in collaboration with the European Association of Preventive Cardiology (EAPC) and the European Society of Cardiology Working Group on Cardiovascular Pharmacotherapy. European heart journal. Acute cardiovascular care. 11(12): 939–949. https://doi.org/10.1093/ehjacc/zuac123

Mach, F., Baigent, C., Catapano, A. L., Koskinas, K. C., Casula, M., Badimon, L., Chapman, M. J., De Backer, G. G., Delgado, V., Ference, B. A., Graham, I. M., Halliday, A., Landmesser, U., Mihaylova, B., Pedersen, T. R., Riccardi, G., Richter, D. J., Sabatine, M. S., Taskinen, M. R., Tokgozoglu, L., ESC Scientific Document Group (2020). 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. European heart journal. 41(1): 111–188. https://doi.org/10.1093/eurheartj/ehz455

Ninova, М. (2020). Knowledge and application of medikal devices for the prevention of hai by health care professionals. Knowledge – International Journal. Vol. 42.4: 743-748. ISSN 1857-923X.

Pelliccia, A., Sharma, S., Gati, S., Bäck, M., Börjesson, M., Caselli, S., Collet, J. P., Corrado, D., Drezner, J. A., Halle, M., Hansen, D., Heidbuchel, H., Myers, J., Niebauer, J., Papadakis, M., Piepoli, M. F., Prescott, E., Roos-Hesselink, J. W., Graham Stuart, A., Taylor, R. S., ESC Scientific Document Group (2021). 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. European heart journal. 42(1): 42. https://doi.org/10.1093/eurheartj/ehaa605

Popova T., Stambolova, Iv. (2019). Prevention of cardiovascular health in adolescents – long-term investment in the protection and employability of adults. Knowledge International Journal Vol. 35.4: 1117-1124, ISSN 2545-4439.

Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., Skidmore, B., Stone, J. A., Thompson, D. R., & Oldridge, N. (2004). Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. The American journal of medicine. 116(10): 682–692. https://doi.org/10.1016/j.amjmed.2004.01.009

Todorova, M., Petrova, G. (2016). Personality characteristics and quality of life in patients with chronic coronary artery disease in the contex of patient-centered approach to health care. EuroHeartCare 2016 Dubrovnik Croatia, 14-15 Junе 2015. European Journal of Cardiovascular Nursing. Vol.15 (IS /2016): 147.

Todorova, M., Petrova, G. (2018). Influence of risk factors on the quality of life of patients with chronic ischemic heart disease. European Journal of Public Health. Vol.28, Supplement (4): 463. DOI: 10.1093/eurpub/cky213.158

Trešlová, M., Šedová, L., Bártlová, S., Tóthová, V., Chloubová, I. (2017). Selected aspects of education process realization in preventive cardiology. Kontakt. 19(2): e86-92. doi: 10.1016/j.kontakt.2017.04.002.

Visseren, F. L. J., Mach, F., Smulders, Y. M., Carballo, D., Koskinas, K. C., Bäck, M., Benetos, A., Biffi, A., Boavida, J. M., Capodanno, D., Cosyns, B., Crawford, C., Davos, C. H., Desormais, I., Di Angelantonio, E., Franco, O. H., Halvorsen, S., Hobbs, F. D. R., Hollander, M., Jankowska, E. A., ESC Scientific Document Group (2021). 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. European heart journal. 42(34): 3227–3337. https://doi.org/10.1093/eurheartj/ehab484

Богданова, К., Благоева, Д., Георгиева, Ст., Чанева, Г. (2015). Съвременни предизвикателства при управлението на здравните грижи. Тридесет и шеста научно-технологична сесия Контакт, София (30.10.2015). Гражданска идея в действие. Сборник статии. Темто: 209-213.

Гочева, Н., Аврамов, Д., Георгиев, Б., Байчева, В. (2008). Прекъсване на терапията със статини. Клинични последствия и молекулни механизми. Мединфо. 09: 1-6.

Димитрова, М., Чанева, Г. (2020). Професионалните компетенции като предпоставка за професионалната реализация на медицинските сестри. Сестринско дело. 52 (2): 32-36.

Иванова, Д. (2014). Организационен модел за сестрински грижи при пациенти с остър миокарден инфаркт. Автореферат за присъждане на образователна и научна степен „Доктор”, София.

Иванова, Д., Чанева, Г. (2016). Адаптация и потребности от грижи за пациенти след сърдечна операция. Управление и образование. 12, vol.5: 38-41.

Младенова, Й., Господинов, К., Попов, Е., Тишева С. (2022). Съвременни стратегии за контрол на високорискови пациенти с ACSVD. Мединфо, 9, 22-29.

Нинова, М. (2008). Нормативни насоки в управлението на здравните грижи. Здравни грижи. 2: 35-37. ISSN 1312-2592.

Петрова, Г. (2020). Предизвикателства пред медицинската сестра в процеса на промоция на здравето. Пловдив, МАКРОС: 76-98.

Попова, Т., Василева, Н., Терзиева, А. (2021). Потребност от здравно обучение при ученици за ползите от здравословното хранене и превенцията на сърдечния риск. Управление и образование. Vol. 17, (5): 169-173. ISSN 13126121

Попова, Т., Димитрова, М., Благоева, Д. (2023). Анализ на някои рискови фактори при пациенти с преживян остър миокарден инфаркт. Сестринско дело. 55, № 3: 33-39.

Препоръки на ESC 2017 за поведение при остър миокарден инфаркт с елевация на ST-сегмента. European Heart Journal (2017) 00: 1–66. doi:10.1093/eurheartj/ehx393

Стамболова, И. (2019). Профилактичните програми за хронични неинфекциозни заболявания – участие и роля на медицинската сестра в извънболничната помощ. Сестринско дело. 51 (1): 34-38.

Tодорова, M. (2018). Роля на медицинската сестра в превенцията на сърдечно-съдовата болест. Knowledge – International Journal. Vol. 26.4 September: 1171-1176.

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Published

2023-12-10

How to Cite

Popova, T., & Blagoeva, D. (2023). CARDIAC REHABILITATION AND RISK MANAGEMENT OF COMPLICATIONS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION. KNOWLEDGE - International Journal , 61(4), 517–522. Retrieved from https://ikm.mk/ojs/index.php/kij/article/view/6445

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