CardioSomaticsCardioSomaticsCardioСоматика2221-71852658-5707Eco-Vector63668410.17816/CS636684ReviewsОбзорыReview ArticleMaintaining optimal physical activity of patients following cardiac rehabilitationСпособы поддержания оптимальной физической активности после реабилитации кардиологических пациентовhttps://orcid.org/0000-0002-8508-53272134-9520Persiyanova-DubrovaAnna L.Персиянова-ДуброваАнна Леонидовна
Russian Federation

MD, Cand. Sci. (Medicine)

кандидат мед. наук

apersiyanova@gnicpm.ruhttps://orcid.org/0000-0003-2250-59426733-1430BubnovaMarina G.БубноваМарина Геннадьевна
Russian Federation

MD, Dr. Sci. (Medicine), Professor

доктор мед. наук, профессор

mbubnova@gnicpm.ruhttps://orcid.org/0000-0003-0484-98055094-6509AronovDavid M.АроновДавид Меерович
Russian Federation

MD, Dr. Sci. (Medicine), Professor

доктор мед. наук, профессор

aronovdm@mail.ruhttps://orcid.org/0000-0002-4356-72648846-6382MatveevaInna F.МатвееваИнна Федоровна
Russian Federation
imatveeva@gnicpm.ruNational Medical Research Center for Therapy and Preventive MedicineНациональный медицинский исследовательский центр терапии и профилактической медицины11012025251220241543543640310202418122024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, ООО "Эко-Вектор"2024Eco-VectorООО "Эко-Вектор"https://creativecommons.org/licenses/by-nc-nd/4.0https://cardiosomatics.ru/2221-7185/article/view/636684

Physical activity (PA) is an important component of secondary prevention of cardiovascular diseases. PA has a cardioprotective effect and improves the prognosis. Increased PA is associated with a lower coronary risk and decreased overall mortality in patients with a history of myocardial infarction. However, optimal PA achieved during cardiac rehabilitation gradually decreases afterward. Various strategies, including motivational, are used to maintain patients’ PA after cardiac rehabilitation program. Remote rehabilitation using modern digital technologies is also becoming more popular. This literature review discusses studies of the effectiveness of various measures to improve and maintain PA in cardiac patients, provides theoretical and practical considerations, and identifies topics for further researches.

Физическая активность (ФА) — важный компонент вторичной профилактики сердечно-сосудистых заболеваний. ФА обладает кардиопротективным действием и оказывает благоприятное прогностическое влияние. Повышенный уровень ФА связан с более низким коронарным риском и снижением общей смертности у пациентов, перенёсших инфаркт миокарда. Однако достигнутые во время кардиореабилитации оптимальные уровни ФА после её завершения постепенно снижаются. Для поддержания ФА пациентов после завершения программы кардиореабилитации применяются различные стратегии, в том числе мотивационные. Актуальным также становится проведение реабилитационных мероприятий дистанционно — с помощью современных цифровых технологий. В обзоре литературы обсуждаются результаты исследований, оценивающих эффективность различных мер, направленных на повышение и поддержание ФА у кардиологических больных, приводятся теоретические и практические аспекты их применения, обозначаются темы для дальнейших исследований.

cardiac rehabilitationsecondary preventionphysical activitycardiovascular diseasesкардиореабилитациявторичная профилактикафизическая активностьсердечно-сосудистые заболеванияJortveit J, Halvorsen S, Kaldal A, et al. Unsatisfactory risk factor control and high rate of new cardiovascular events in patients with myocardial infarction and prior coronary artery disease. BMC Cardiovasc Disord. 2019;19(1):71. doi: 10.1186/s12872-019-1062-yJortveit J., Halvorsen S., Kaldal A., et al. Unsatisfactory risk factor control and high rate of new cardiovascular events in patients with myocardial infarction and prior coronary artery disease // BMC Cardiovasc Disord. 2019. Vol. 19, N 1. P. 71. doi: 10.1186/s12872-019-1062-yKaasenbrood L, Boekholdt SM, van der Graaf Y, et al. Distribution of estimated 10-year risk of recurrent vascular events and residual risk in a secondary prevention population. Circulation. 2016;134:1419–1429. doi: 10.1161/circulationaha.116.021314Kaasenbrood L., Boekholdt S.M., van der Graaf Y., et al. Distribution of estimated 10-year risk of recurrent vascular events and residual risk in a secondary prevention population // Circulation. 2016. Vol. 134, N 19. P. 1419–1429. doi: 10.1161/circulationaha.116.021314Ekblom O, Ek A, Cider A, et al. Increased physical activity post-myocardial infarction is related to reduced mortality: results from the SWEDEHEART registry. J Am Heart Assoc. 2018;7:e010108. doi: 10.1161/jaha.118.010108Ekblom O., Ek A., Cider A., et al. Increased physical activity post-myocardial infarction is related to reduced mortality: results from the SWEDEHEART registry // J Am Heart Assoc. 2018. Vol. 7, N 24. P. e010108. doi: 10.1161/jaha.118.010108Cha Lönn A, Börjesson M, Hambraeus K, et al. Changes in Physical Activity and Incidence of Nonfatal Cardiovascular Events in 47 153 Survivors of Myocardial Infarction. J Am Heart Assoc. 2023;12(20):e030583. doi: 10.1161/JAHA.123.030583Cha Lönn A., Börjesson M., Hambraeus K., et al. Changes in Physical Activity and Incidence of Nonfatal Cardiovascular Events in 47 153 Survivors of Myocardial Infarction // J Am Heart Assoc. 2023. Vol. 12, N 20. P. e030583. doi: 10.1161/JAHA.123.030583Aronov DM. Cardiac rehabilitation. GEOTAR-media, 2021. P. 464. doi: 10.33029/9704-6218-8-CAR-2021-1-464Аронов Д.М. Кардиореабилитация и вторичная профилактика. ГЭОТАР-медиа, 2021. С. 464. doi: 10.33029/9704-6218-8-CAR-2021-1-464Dibben GO, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis. Eur Heart J. 2023;44(6):452–469. doi: 10.1093/eurheartj/ehac747Dibben G.O., Faulkner J., Oldridge N., et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis // Eur Heart J. 2023. Vol. 44, N 6. P. 452–469. doi: 10.1093/eurheartj/ehac747Arrigo I, Brunner-LaRocca H, Lefkovits M, et al. Comparative outcome one year after formal cardiac rehabilitation: the effects of a randomized intervention to improve exercise adherence. Eur J Cardiovasc Prev Rehabil. 2008;15(3):306–11. doi: 10.1097/HJR.0b013e3282f40e01Arrigo I., Brunner-LaRocca H., Lefkovits M., et al. Comparative outcome one year after formal cardiac rehabilitation: the effects of a randomized intervention to improve exercise adherence // Eur J Cardiovasc Prev Rehabil. 2008. Vol. 15, N 3. P. 306–311. doi: 10.1097/HJR.0b013e3282f40e01Kotseva K, De Backer G, De Bacquer D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiolog. 2019;26:824–35. doi: 10.1177/2047487318825350Kotseva K., De Backer G., De Bacquer D., et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of cardiology ESC-EORP EUROASPIRE V registry // Eur J Prev Cardiolog. 2019. Vol. 26, N 8. P. 824–835. doi: 10.1177/2047487318825350Kotseva K, De Bacquer D, Jennings C, et al. Time trends in lifestyle, risk factor control, and use of evidence-based medications in patients with coronary heart disease in Europe: results from 3 EUROASPIRE surveys, 1999–2013. Glob Heart. 2017;12:315–322. doi: 10.1016/j.gheart.2015.11.003Kotseva K., De Bacquer D., Jennings C., et al. Time trends in lifestyle, risk factor control, and use of evidence-based medications in patients with coronary heart disease in Europe: results from 3 EUROASPIRE surveys, 1999–2013 // Glob Heart. 2017. Vol. 12, N 4. P. 315–322.e3. doi: 10.1016/j.gheart.2015.11.003Zhang Q, Han H, Yang S, Liu W. Facilitators and barriers of initiation and maintenance of physical activity among people with coronary heart disease: a qualitative study. Disabil Rehabil. 2024;7:1–10. doi: 10.1080/09638288.2024.2309512Zhang Q., Han H., Yang S., Liu W. Facilitators and barriers of initiation and maintenance of physical activity among people with coronary heart disease: a qualitative study // Disabil Rehabil. 2024. Vol. 46, N 23. P. 5521–5530. doi: 10.1080/09638288.2024.2309512Bubnova MG. Relevant problems of participation and education of patients in cardiac rehabilitation and secondary prevention programs. Cardiovascular Therapy and Prevention. 2020;19(6):2649. EDN: GRLOQC doi: 10.15829/1728-8800-2020-2649Бубнова М.Г. Актуальные проблемы участия и обучения кардиологических пациентов в программах кардиореабилитации и вторичной профилактики // Кардиоваскулярная терапия и профилактика. 2020. T. 19, № 6. С. 2649. EDN: GRLOQC doi: 10.15829/1728-8800-2020-2649Bubnova MG, Krasnitskii VB, Aronov DM, et al. The phenomenon of long-term commitment (16 years) patients with physical rehabilitation after acute myocardial infarction. Cardiosomatics. 2016;7(2):47–53. EDN: XBNTFN doi: 10.26442/CS45248Бубнова М.Г., Красницкий В.Б., Аронов Д.М., и др. Феномен длительной приверженности (16 лет) больных физической реабилитации после перенесенного острого инфаркта миокарда // СardioСоматика. 2016. Т. 7, № 2. С. 47–53. EDN: XBNTFN doi: 10.26442/CS45248Bubnova MG, Aronov DM, Krasnitskiĭ VB, et al. A home exercise training program after acute coronary syndrome and/or endovascular coronary intervention: efficiency and a patient motivation problem. Therapeutic Archive. 2014;86(1):23–32. EDN: RTZPKDБубнова М.Г., Аронов Д.М., Красницкий В.Б., и др. Программа домашних физических тренировок после острого коронарного синдрома и/или эндоваскулярного вмешательства на коронарных артериях: эффективность и проблема мотивации больных // Терапевтический архив. 2014. Т. 86, № 1. С. 23–32. EDN: RTZPKDKopylova OV, Ershova AI, Yaltonsky VM, et al. Motivational counseling in the prevention of the development and progression of cardiovascular diseases. Cardiovascular Therapy and Prevention. 2022;21(12):3455. EDN: QLCGVF doi: 10.15829/1728-8800-2022-3455Копылова О.В., Ершова А.И., Ялтонский В.М., и др. Мотивационное консультирование в профилактике развития и прогрессирования сердечно-сосудистых заболеваний // Кардиоваскулярная терапия и профилактика. 2022. T. 2, № 12. С. 455. EDN: QLCGVF doi: 10.15829/1728-8800-2022-3455Matveeva IF, Bubnova MG, Aronov DM, et al. Long-term effects of a home exercise program in patients with acute myocardial infarction and percutaneous coronary intervention: prospective observational study. Cardiosomatics. 2023;14(3):155–166. EDN: MRTCKX doi: 10.17816/CS545215Матвеева И.Ф., Бубнова М.Г., Аронов Д.М., и др. Эффекты программы домашних тренировок пациентов, перенёсших острый инфаркт миокарда и чрескожное коронарное вмешательство, при длительном наблюдении: проспективное наблюдательное исследование // CardioСоматика. 2023. Т. 14, № 3. С. 155–166. EDN: MRTCKX doi: 10.17816/CS545215Krasnitskii VB, Aronov DM, Dzhanchotov SO. Study of physical activity in the patients with ischemic heart disease by special questionnaire “QPHA-23+”. Cardiovascular Therapy and Prevention. 2011;10(8):90–97. EDN: OKMBHZКрасницкий В.Б., Аронов Д.М., Джанахотов С.О. Изучение физической активности у больных ИБС с помощью специализированного опросника двигательной активности ОДА-23+ // Кардиоваскулярная терапия и профилактика. 2011. Т. 10, № 8. С. 90–97. EDN: OKMBHZRichards SH, Anderson L, Jenkinson CE, et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis. Eur J Prev Cardiol. 2018;25(3):247–259. doi: 10.1177/2047487317739978Richards S.H., Anderson L., Jenkinson C.E., et al. Psychological interventions for coronary heart disease: Cochrane systematic review and meta-analysis // Eur J Prev Cardiol. 2018. Vol. 25, N 3. P. 247–259. doi: 10.1177/2047487317739978Pogosova NV, Salbieva AO, Sokolova OY, et al. The Impact of Secondary Prevention Programs Incorporating Remote Technologies on Psychological Well-Being and Quality of Life in Coronary Heart Disease Patients with Abdominal Obesity. Cardiology. 2019;59(12):11–19. EDN: AQPVMM doi: 10.18087/cardio.2019.12.n740Погосова Н.В., Салбиева А.О., Соколова О.Ю., и др. Влияние программ вторичной профилактики с использованием дистанционных технологий на психологический статус и качество жизни пациентов с ишемической болезнью сердца и абдоминальным ожирением // Кардиология. 2019. Т. 59, № 12. С. 11–19. EDN: AQPVMM doi: 10.18087/cardio.2019.12.n740Velikanov AA, Stoljarova AA, Kruglova N.E. The role of psychological rehabilitation in complex cardiac rehabilitation of patients with coronary heart disease. National Psychological Journal. 2020;13(4):85–97. EDN: AKRUUZ doi: 10.11621/npj.2020.0407Великанов А.А., Столярова А.А., Круглова Н.Е. Роль психологической реабилитации в комплексной кардиореабилитации пациентов с ишемической болезнью сердца // Национальный психологический журнал. 2020. T. 4, № 40. С. 85–97. EDN: AKRUUZ doi: 10.11621/npj.2020.0407Sivakova OV, Yaltonsky VM, Sirota NA. The impact of medical and psychological counseling with the use of remote technologies on the profile of the main risk factors for cardiovascular disease. Ural Medical Journal. 2018;(12):107–112. EDN: XBHKIR doi: 10.25694/URMJ.2018.12.25Сивакова О.В., Ялтонский В.М., Сирота Н.А. Влияние медико-психологического консультирования с применением дистанционных технологий на профиль основных факторов риска сердечно-сосудистых заболеваний // Уральский медицинский журнал. 2018. Т. 12, № 167. С. 107–112. EDN: XBHKIR doi: 10.25694/URMJ.2018.12.25Ambrosetti M, Abreu A, Corrà U, et al. 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. Eur J Prev Cardiol. 2021;28(5):460–495. doi: 10.1177/2047487320913379Ambrosetti M., Abreu A., Corrà U., et al. 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 // Eur J Prev Cardiol. 2021. Vol. 28, N 5. P. 460–495. doi: 10.1177/2047487320913379Beck AT. Thinking and depression. I. Idiosyncratic content and cognitive distortions. Arch Gen Psychiatry. 1963;9:324–333. doi: 10.1001/archpsyc.1963.01720160014002Beck A.T. Thinking and depression. I. Idiosyncratic content and cognitive distortions // Arch Gen Psychiatry. 1963. Vol. 9. P. 324–333. doi: 10.1001/archpsyc.1963.01720160014002Li YN, Buys N, Ferguson S, et al. Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis. World J Psychiatry. 2021;11(11):1147–1166. doi: 10.5498/wjp.v11.i11.1147Li Y.N., Buys N., Ferguson S., et al. Effectiveness of cognitive behavioral therapy-based interventions on health outcomes in patients with coronary heart disease: A meta-analysis // World J Psychiatry. 2021. Vol. 11, N 11. P. 1147–1166. doi: 10.5498/wjp.v11.i11.1147Aharon KB, Gershfeld-Litvin A, Amir O, et al. Improving cardiac rehabilitation patient adherence via personalized interventions. PLoS One. 2022;17(8):e0273815. doi: 10.1371/journal.pone.0273815Aharon K.B., Gershfeld-Litvin A., Amir O., et al. Improving cardiac rehabilitation patient adherence via personalized interventions // PLoS One. 2022. Vol. 17, N 8. P. e0273815. doi: 10.1371/journal.pone.0273815Wurst R, Kinkel S, Lin J, et al. Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial. J Behav Med. 2019;42(6):1104–1116. doi: 10.1007/s10865-019-00047-yWurst R., Kinkel S., Lin J., et al. Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial // J Behav Med. 2019. Vol. 42, N 6. P. 1104–1116. doi: 10.1007/s10865-019-00047-yRajati F, Sadeghi M, Feizi A, et al. Self-efficacy strategies to improve exercise in patients with heart failure: A systematic review. ARYA Atheroscler. 2014;10(6):319–333.Rajati F., Sadeghi M., Feizi A., et al. Self-efficacy strategies to improve exercise in patients with heart failure: A systematic review // ARYA Atheroscler. 2014. Vol. 10, N 6. P. 319–333.Chase JA. Systematic review of physical activity intervention studies after cardiac rehabilitation. J Cardiovasc Nurs. 2011;26(5):351–358. doi: 10.1097/JCN.0b013e3182049f00Chase J.A. Systematic review of physical activity intervention studies after cardiac rehabilitation // J Cardiovasc Nurs. 2011. Vol. 26, N 5. P. 351–358. doi: 10.1097/JCN.0b013e3182049f00Graham H, Prue-Owens K, Kirby J, Ramesh M. Systematic Review of Interventions Designed to Maintain or Increase Physical Activity Post-Cardiac Rehabilitation Phase II. Rehabil Process Outcome. 2020;9:1179572720941833. doi: 10.1177/1179572720941833Graham H., Prue-Owens K., Kirby J., Ramesh M. Systematic Review of Interventions Designed to Maintain or Increase Physical Activity Post-Cardiac Rehabilitation Phase II // Rehabil Process Outcome. 2020. N 9. P. 1179572720941833. doi: 10.1177/1179572720941833Drozdova LIu, Lischenko OV. Modern approaches for conducting motivational counseling for correction of the risk factors and adherence improving: literature review. Russian Journal of Preventive Medicine. 2019;22(2):101–106. EDN: VZSQRC doi: 10.17116/profmed201922021101Дроздова Л.Ю., Иванова Е.С., Лищенко О.В. Современные подходы к мотивационному консультированию с целью коррекции факторов риска и повышения приверженности: обзор литературы // Профилактическая медицина. 2019. Т. 22, № 2. С. 101–106. EDN: VZSQRC doi: 10.17116/profmed201922021101Drozdova LIu, Lischenko OV, Drapkina OM. Technologies of motivational counseling. Russian Journal of Preventive Medicine. 2020;23(2):97–101. EDN: FPIATI doi: 10.17116/profmed20202302197Дроздова Л.Ю., Лищенко О.В., Драпкина О.М. Технологии мотивационного консультирования // Профилактическая медицина. 2020. Т. 23, № 2. С. 97–101. EDN: FPIATI doi: 10.17116/profmed20202302197Miller W, Rollnick S. Motivational Interviewing: Helping People Change (3rd Ed.). NY: Guildford Press; 2013. 482 p.Miller W., Rollnick S. Motivational Interviewing: Helping People Change (3rd Ed.). NY: Guildford Press; 2013, 482 p.Rouleau CR, King-Shier KM, Tomfohr-Madsen LM, et al. The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial. Patient Educ Couns. 2018;101(11):1914–1923. doi: 10.1016/j.pec.2018.06.015Rouleau C.R., King-Shier K.M., Tomfohr-Madsen L.M., et al. The evaluation of a brief motivational intervention to promote intention to participate in cardiac rehabilitation: A randomized controlled trial // Patient Educ Couns. 2018. Vol. 101, N 11. P. 1914–1923. doi: 10.1016/j.pec.2018.06.015Mifsud JL, Galea J, Garside J, et al. Motivational interviewing to support modifiable risk factor change in individuals at increased risk of cardiovascular disease: A systematic review and meta-analysis. PLoS One. 2020;15(11):e0241193. doi: 10.1371/journal.pone.0241193Mifsud J.L., Galea J., Garside J., et al. Motivational interviewing to support modifiable risk factor change in individuals at increased risk of cardiovascular disease: A systematic review and meta-analysis // PLoS One. 2020. Vol. 15, N 11. P. e0241193. doi: 10.1371/journal.pone.0241193Lee WW, Choi KC, Yum RW, et al. Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review. Int J Nurs Stud. 2016;53:331–341. doi: 10.1016/j.ijnurstu.2015.09.010Lee W.W., Choi K.C., Yum R.W., et al. Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review // Int J Nurs Stud. 2016. N 53. P. 331–341. doi: 10.1016/j.ijnurstu.2015.09.010Poudel N, Kavookjian J, Scalese MJ. Motivational Interviewing as a Strategy to Impact Outcomes in Heart Failure Patients: A Systematic Review. Patient. 2020;13(1):43–55. doi: 10.1007/s40271-019-00387-6Poudel N., Kavookjian J., Scalese M.J. Motivational Interviewing as a Strategy to Impact Outcomes in Heart Failure Patients: A Systematic Review // Patient. 2020. Vol. 13, N 1. P. 43–55. doi: 10.1007/s40271-019-00387-6Janssen V, De Gucht V, van Exel H, Maes S. Beyond resolutions? A randomized controlled trial of a self-regulation lifestyle programme for post-cardiac rehabilitation patients. Eur J Prev Cardiol. 2013;20:431–441. doi: 10.1177/2047487312441728Janssen V., De Gucht V., van Exel H., Maes S. Beyond resolutions? A randomized controlled trial of a self-regulation lifestyle programme for post-cardiac rehabilitation patients // Eur J Prev Cardiol. 2013. Vol. 20, N. 3. P. 431–441. doi: 10.1177/2047487312441728Janssen V, De Gucht V, van Exel H, Maes S. A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence. J Behav Med. 2014;37:308–321. doi: 10.1007/s10865-012-9489-yJanssen V., De Gucht V., van Exel H., Maes S. A self-regulation lifestyle program for post-cardiac rehabilitation patients has long-term effects on exercise adherence // J Behav Med. 2014. Vol. 37, N 2. P. 308–321. doi: 10.1007/s10865-012-9489-yBrouwers RWM, Scherrenberg M, Kemps HMC, et al. Cardiac telerehabilitation: current status and future perspectives. Neth Heart J. 2024;32(1):31–37. doi: 10.1007/s12471-023-01833-9Brouwers R.W.M., Scherrenberg M., Kemps H.M.C., et al. Cardiac telerehabilitation: current status and future perspectives // Neth Heart J. 2024. Vol. 32, N 1. P. 31–37. doi: 10.1007/s12471-023-01833-9Lyamina NP, Kharytonov SV. Digital wearable devices in cardiac rehabilitation: patient need and satisfaction. Literature Review. Cardiosomatics. 2022;13(1):23–30. EDN: UOYKGE doi: 10.17816/22217185.2022.1.201471Лямина Н.П., Харитонов С.В. Цифровые носимые устройства в кардиореабилитации: потребность и удовлетворенность пациентов. Обзор литературы // CardioСоматика. 2022. Т. 13, № 1. С. 23–30. EDN: UOYKGE doi: 10.17816/22217185.2022.1.201471Frederix I, Solmi F, Piepoli MF, Dendale P. Cardiac telerehabilitation: A novel cost-efficient care delivery strategy that can induce long-term health benefits. Eur J Prev Cardiol. 2017;24:1708–1717. doi: 10.1177/2047487317732274Frederix I., Solmi F., Piepoli M.F., Dendale P. Cardiac telerehabilitation: A novel cost-efficient care delivery strategy that can induce long-term health benefits // Eur J Prev Cardiol. 2017. Vol. 24, N 16. P. 1708–1717. doi: 10.1177/2047487317732274Wongvibulsin S, Habeos EE, Huynh PP, et al. Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review. J Med Internet Res. 2021;23(2):e18773. doi: 10.2196/18773Wongvibulsin S., Habeos E.E., Huynh P.P., et al. Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review // J Med Internet Res. 2021. Vol. 23, N 2. P. e18773. doi: 10.2196/18773Tuttle K, Kelemen A, Liang Y. Use of smartphone apps for improving physical function capacity in cardiac patient rehabilitation: systematic review. JMIRx Med. 2021;2:e21906. doi: 10.2196/21906Tuttle K., Kelemen A., Liang Y. Use of smartphone apps for improving physical function capacity in cardiac patient rehabilitation: systematic review // JMIRx Med. 2021. Vol. 2, N 3. P. e21906. doi: 10.2196/21906Artinian NT, Fletcher GF, Mozaffarian D, et al. American Heart Association Prevention Committee of the Council on Cardiovascular Nursing. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 2010;122(4):406–441. doi: 10.1161/CIR.0b013e3181e8edf1Artinian N.T., Fletcher G.F., Mozaffarian D., et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association // Circulation. 2010. Vol. 122, N 4. P. 406–441. doi: 10.1161/CIR.0b013e3181e8edf1