基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略

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【中图分类号】 R 542.22 【文献标识码】 ADOI： 10.12114/j.issn.1007-9572.2025.0028

【Abstract】Acute myocardialinfarction（AMI）remains oneof theleading causesof mortalityand disability worldwide， makingtheoptimizationoflong-termpost-proceduralmanagementakeyfocusincardiovascularmedicine.Exercise-basedcardiac rehabilitation（EBCR），asacore interventionrecommended byevidence-basedmedicine，hasdemonstratedsignificant benefits in enhancing cardiopulmonary function，alleviatingpsychological stress，and improvingoverallqualityoflife by integrating diverse exercisemodalitieswithpersonalized managementstrategies.Therapidadvancementofprecisionmedicine， smarttechnologies，andpsychosocial interventions hasprovidednewopportunitiesfortheexpansionofEBCR，particularlyin resource-limitedsetings.However，thegobal implementationofEBCR stillfacessubstantialchallenges，including limited healthcare accesibility，economicconstraints，and porpatientaderence，especiallyinregions with insuffcientmedical resources.Thisstudysystematicallreviewsthe globallandscapeofEBCRimplementation，regional disparities，andtheffcacy of multidimensionalinterventionsandpersonalizedapproaches.Furthermore，itexploresfuturedirectionsintheintegrationof intellgenttechnologies，policyframeworks，andinterdisciplnarycollborations，aimingtopovidetargetedtoreticalsigts and practical guidance for optimizing AMI rehabilitation management.

【Key Words】Acute myocardial infarction； Exercise-based cardiac rehabilitation；Multimodal intervention; Personalized management；Precision medicine；Smart technology；Psychosocial intervention；Adherence；Global implementation

急性心肌梗死（acutemyocardialinfarction，AMI）是全球主要的心血管疾病之一，患者死亡率和致残率较高。（剩余45677字）