Rehabilitation after myocardial infarction and coronary artery bypass grafting at the outpatient stage

Course curriculum

• Module 1. Organization of follow-up of patients after myocardial infarction and coronary artery bypass grafting
• History of cardiac rehabilitation: what has changed over recent decades and why it matters
• Modern rehabilitation models: inpatient, outpatient and remote stages
• Patient routing: how to properly organize the pathway from inpatient to outpatient care?
• Rehabilitation potential: what is it and how to assess it for planning rehabilitation?
• Multidisciplinary team: why do a dietitian, psychologist and nurse participate in rehabilitation?
• Module 2. Inpatient stage of cardiac rehabilitation: phases I and II
• Preparation for Coronary Artery Bypass Surgery: How Does Prehabilitation Improve Treatment Outcomes?
• Early postoperative period: why is this a key stage for successful recovery?
• Severity of the patient's condition: how to correctly apply the GRACE, TIMI and Killip indices in practice?
• Complications of myocardial infarction: what you need to know about acute and late consequences?
• Postpericardiotomy syndrome: the most common errors in diagnosis and treatment
• Module 3. Outpatient stage of cardiac rehabilitation
• Dispensary follow-up: how often should the patient be examined and what does the examination plan include?
• Prevention targets: how to achieve ideal LDL-C, BP, and HbA1c values?
• Diet therapy: why is nutrition management the key to success?
• Physical activity: which exercises really work, and which can be harmful?
• Psychological support: how to recognize depression in time and help the patient?
• Module 4. Physical rehabilitation after myocardial infarction and coronary artery bypass grafting
• How to plan physical activity correctly: stages, principles, and common mistakes
• Assessment of patient performance capacity: what do cardiopulmonary exercise testing (CPET) and the 6-minute walk test reveal?
• Load monitoring: the Borg scale and HRR
• Prevention of sternal dehiscence: modern methods for safe recovery
• Sexual activity after surgery: recovery and patient recommendations
• Module 5. Work capacity assessment
• How to determine temporary and permanent disability: timeframes and criteria
• Disability groups: what does a physician need to know for referral to medical and social expertise (MSE)?
• Approaches to Rehabilitation of Patients with Loss of Work Capacity
• Module 6. Organization of health schools and sanatorium-resort treatment
• Health schools: number, duration and a sample lesson plan
• Sanatorium and spa treatment: indications and contraindications
• Individual rehabilitation programs: what to include for the best possible outcome?
• Module 7. Complications of myocardial infarction and surgery at the outpatient stage
• Arrhythmias, heart failure, thromboembolism: how to detect and treat them in time?
• Postpericardiotomy syndrome: why is it so often missed?
• Module 8. Individual rehabilitation programs and case analysis
• Functional tests: how to interpret them to develop a personalized plan?
• Rehabilitation programs: how to adapt standard approaches to the individual characteristics of the patient?
• Clinical cases: learning from examples to avoid mistakes in our own practice