急性冠状动脉综合征后早期康复期管理及临床过程特点

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急性冠状动脉综合征（acute coronary syndrome, ACS）仍是全球范围内，尤其是在中低收入国家导致死亡和致残的主要原因之一。本文综述了ACS患者心脏康复（cardiac rehabilitation, CR）策略的最新进展，重点分析流行病学、临床特点及CR项目的创新策略。CR的关键组成包括体育锻炼、心理康复、饮食干预和药物治疗，这些措施均需个体化制定以优化临床结局。文章特别关注ACS在性别方面的临床差异、康复项目的可及性差异，以及COVID-19疫情对疾病动态的影响。综述了最新研究成果，强调将数字技术、远程医疗及移动应用整合至CR项目中的有效性。作者同时探讨了传统康复方法与新兴手段，如高强度间歇训练和地中海饮食，为康复项目的开发提供了理论基础。尽管CR的疗效已被证实，但由于患者依从性低及资源匮乏地区的可获得性不足，其推广仍面临诸多限制。目前正制定新的临床指南，以完善康复策略，降低复发性并发症风险，并提高患者生活质量。

作者简介

Arslan A. Gallamshin

Bashkir State Medical University

编辑信件的主要联系方式.
Email: formedkey@mail.ru
ORCID iD: 0009-0001-7788-6116
俄罗斯联邦, Ufa

Iulai A. Mutallapov

Bashkir State Medical University

Email: 89871413659a@gmail.com
ORCID iD: 0009-0001-1116-6490
俄罗斯联邦, Ufa

Shoira Matzhanova

Bashkir State Medical University

Email: matzanovasoira@gmail.com
ORCID iD: 0009-0006-6552-0471
俄罗斯联邦, Ufa

Malika Babazhanova

Bashkir State Medical University

Email: babajanovamalika93@gmail.com
ORCID iD: 0009-0003-3704-9123
俄罗斯联邦, Ufa

Victoria G. Mkhitaryan

Bashkir State Medical University

Email: viktoriagamletovna@mail.ru
俄罗斯联邦, Ufa

Sayriddin L. Umirov

Bashkir State Medical University

Email: sairiddinumirov@gmail.com
ORCID iD: 0009-0008-8144-5875
俄罗斯联邦, Ufa

Sabina R. Tavlykaeva

Bashkir State Medical University

Email: sabina.tavlykaeva@gmail.com
ORCID iD: 0009-0005-2144-1280
俄罗斯联邦, Ufa

Mirzonazim D. Davlatov

Bashkir State Medical University

Email: mirzonozim2019@gmail.com
ORCID iD: 0009-0002-6912-9710
俄罗斯联邦, Ufa

Angelina V. Dubovik

Bashkir State Medical University

Email: aswlz@yandex.ru
ORCID iD: 0009-0000-8893-2125
俄罗斯联邦, Ufa

Veronika I. Makarova

Bashkir State Medical University

Email: Vm23eronika@gmail.com
ORCID iD: 0009-0002-0545-6798
俄罗斯联邦, Ufa

Angelina S. Rodionova

Bashkir State Medical University

Email: Rodionovaangelina5320@gmail.com
ORCID iD: 0009-0002-5809-9608
俄罗斯联邦, Ufa

Airat R. Latypov

Bashkir State Medical University

Email: Shazzam02@mail.ru
ORCID iD: 0009-0009-6401-8123
俄罗斯联邦, Ufa

Rafil R. Fatrahmanov

Kazan State Medical University

Email: rafilfatrahmanov@gmail.com
ORCID iD: 0009-0007-7873-8557
俄罗斯联邦, Kazan

Islamiya I. Galimullina

Kazan State Medical University

Email: Islamiya.galimullina.01@bk.ru
ORCID iD: 0009-0002-7804-1868
俄罗斯联邦, Kazan

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Согласие на обработку персональных данных с помощью сервиса «Яндекс.Метрика»

1. Я (далее – «Пользователь» или «Субъект персональных данных»), осуществляя использование сайта https://journals.rcsi.science/ (далее – «Сайт»), подтверждая свою полную дееспособность даю согласие на обработку персональных данных с использованием средств автоматизации Оператору - федеральному государственному бюджетному учреждению «Российский центр научной информации» (РЦНИ), далее – «Оператор», расположенному по адресу: 119991, г. Москва, Ленинский просп., д.32А, со следующими условиями.

2. Категории обрабатываемых данных: файлы «cookies» (куки-файлы). Файлы «cookie» – это небольшой текстовый файл, который веб-сервер может хранить в браузере Пользователя. Данные файлы веб-сервер загружает на устройство Пользователя при посещении им Сайта. При каждом следующем посещении Пользователем Сайта «cookie» файлы отправляются на Сайт Оператора. Данные файлы позволяют Сайту распознавать устройство Пользователя. Содержимое такого файла может как относиться, так и не относиться к персональным данным, в зависимости от того, содержит ли такой файл персональные данные или содержит обезличенные технические данные.

3. Цель обработки персональных данных: анализ пользовательской активности с помощью сервиса «Яндекс.Метрика».

4. Категории субъектов персональных данных: все Пользователи Сайта, которые дали согласие на обработку файлов «cookie».

5. Способы обработки: сбор, запись, систематизация, накопление, хранение, уточнение (обновление, изменение), извлечение, использование, передача (доступ, предоставление), блокирование, удаление, уничтожение персональных данных.

6. Срок обработки и хранения: до получения от Субъекта персональных данных требования о прекращении обработки/отзыва согласия.

7. Способ отзыва: заявление об отзыве в письменном виде путём его направления на адрес электронной почты Оператора: info@rcsi.science или путем письменного обращения по юридическому адресу: 119991, г. Москва, Ленинский просп., д.32А

8. Субъект персональных данных вправе запретить своему оборудованию прием этих данных или ограничить прием этих данных. При отказе от получения таких данных или при ограничении приема данных некоторые функции Сайта могут работать некорректно. Субъект персональных данных обязуется сам настроить свое оборудование таким способом, чтобы оно обеспечивало адекватный его желаниям режим работы и уровень защиты данных файлов «cookie», Оператор не предоставляет технологических и правовых консультаций на темы подобного характера.

9. Порядок уничтожения персональных данных при достижении цели их обработки или при наступлении иных законных оснований определяется Оператором в соответствии с законодательством Российской Федерации.

10. Я согласен/согласна квалифицировать в качестве своей простой электронной подписи под настоящим Согласием и под Политикой обработки персональных данных выполнение мною следующего действия на сайте: https://journals.rcsi.science/ нажатие мною на интерфейсе с текстом: «Сайт использует сервис «Яндекс.Метрика» (который использует файлы «cookie») на элемент с текстом «Принять и продолжить».