Challenges of the implementation of a new cardiac rehabilitation system in Russia

• Main Authors: D. M. Aronov, M. G. Bubnova
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2013-08-01
• Series: Российский кардиологический журнал
• Subjects: cardiac rehabilitation; rehabilitation stages; rehabilitation multidisciplinarity; physical training programme; school for acs/ami patients; pharmacist
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/398

The paper analyses the modern state of the cardiac rehabilitation system inRussia. The state system of the stage-based rehabilitation of patients with acute myocardial infarction (AMI) or patients who underwent coronary artery bypass graft (CABG) surgery was implemented in the 1980s, but collapsed due to the dramatic social changes of the past two decades. In 2013, based on the law “Healthcare of the Russian Federation citizens’ which was approved by the Federation Council in 2011, the Ministry of Health launched the programme of the complex, stage-based rehabilitation of neurologic, cardiac, oncologic, and traumatlogical (central nervous system traumas) patients. The paper focuses on the cardiac rehabilitation of patients with acute coronary syndrome (ACS) and AMI, as well as individuals after CABG and intracoronary invasive interventions. The first stage is a cardiac hospital (including an intensive care unit), the second stage is an in-patient clinic of the rehabilitation centre, and the third stage is an out-patient clinic of the rehabilitation centre. The authors stress the importance of the problem which is still unresolved inRussia: the need for physical training programme as the crucial, obligatory component of cardiac rehabilitation. The data on medical and social value of cardiac rehabilitation are presented, which include significant reductions in lethality, hospital admissions, and disability, as well as a marked improvement in clinical course of the disease and quality of life. It is suggested that effective implementation of cardiac rehabilitation in the clinical settings is a method of reducing the excessive burden of mortality inRussia.