A MODEL FOR RISK MANAGEMENT OF COMPLICATIONS IN PATIENTS WITH EXPERIENCED ACUTE MYOCARDIAL INFARCTION
Keywords:
management, complications, Myocardial Infarction, model, cardioprophylaxisAbstract
Ischemic heart disease and Acute Myocardial Infarction remain the leading cause of death worldwide. For the development of the disease, the prognosis and the outcome of it, are the age and comorbidity of the patient, the possibilities of applying modern endovascular treatment and treatment in intensive cardiology units, the patient's access to centers for interventional treatment, the stratification of risk and the application of modern medications for primary and secondary prevention, are of great importance. Rehospitalizations after AMI are unfortunately a common phenomenon, which significantly damages the healthcare system and leads to a number of psychological, physical and financial losses for the patient. The aim of the current study was to develop a Risk Management Model for Complications in Patients with experienced Acute Myocardial Infarction designed for healthcare professionals. Materials and methods: A documentary method was used and the specialized medical literature 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 data and systematized the found materials. On the basis of the existing scientific literature, a "Model for the management of the risk of complications in patients with acute myocardial infarction" was developed, intended for health care professionals. The method of observation in real clinical practice and graphical representation of the results were also used. Conclusions: To overcome the negative statistics and the increased morbidity and mortality from cardiovascular diseases, effective primary prevention, motivation to change the behavior and lifestyle of the population and cardiac rehabilitation after a coronary accident in order to avoid future complications are needed. The prepared Risk Management Model combines the separate elements of conducting cardiac rehabilitation in accordance with the modern recommendations of the European Society of Cardiology for conducting cardioprophylaxis.
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