Цель. Изучить изменение качества жизни больных, перенесших острый коронарный синдром (ОКС) c экстренной реваскуляризацией посредством ЧТКА и стентирования коронарных артерий (КА).

Материалы и методы. Включено 150 пациентов с ОКС, ЧТКА и стентированием КА. 1 группа – 65 человек, направленных на 2 этап кардиореабилитации; 2 группа – 85 человек, отказавшихся от проведения 2 этапа кардиореабилитации. Пациенты прошли стандартное обследование и дополнительно тестирование по тесту-опроснику Бека и SF-36.

Результаты. Пациенты с полным курсом кардиореабилитации имели статический значимый прирост показателей здоровья (физический компонент здоровья после выписки 42,30 [38,25; 44,35] относительно через 6 месяцев 56,30 [51,85; 58,10], р<0,001; психологический компонент после выписки 42,80 [39,75; 50,20] относительно через 6 месяцев 56,70 [51,85; 57,20], р<0,001). Во 2 группе такой закономерности нет. Подтверждено отрицательное влияние табакокурения на физический (r = - 0,629, p<0,05) и психологический (r = - 0,621, p<0,05) компоненты здоровья, и повышенного уровня холестерина на физический (r = - 0,424, p<0,05) и психологический (r = - 0,405, p<0,05) компоненты здоровья.

Заключение. Выявлена высокая значимость реабилитационных мероприятий у пациентов после стационарного лечения по поводу ОКС, ЧТКА и стентирования КА. При этом, из имеющихся факторов риска на качество реабилитационных мероприятий отрицательно влияет повышенный уровень холестерина и курение.

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