Influence of the remote monitoring system on the lipid profile after myocardial infarction in urban and rural areas of the Perm region

Objective: to evaluate the impact of a remote dynamic monitoring system on the lipid profile after myocardial infarction in urban and rural areas of the Perm Territory. Material and methods. The study, conducted between 2020 and 2022, included 253 patients diagnosed with myocardial infarction. The study compared two groups of patients: those who refused to participate (n=105) and those who took part in the "Remote health monitoring of patients with cardiovascular disease" (RM program) (n=148). Patients were monitored at least once a month via telephone calls using an approved list of questions. Results. The group of patients participating in the RM system showed a significant improvement in lipid profile compared to the groups without RM. A comparison between urban and rural patients showed statistically significant differences in the levels of cholesterol (p=0.002 for residents of the Perm region) and low-density lipoproteins (LDL) (p=0.049 for residents of Perm; p=0.025 for residents of the Perm region), indicating potential differences in the effect of RM in different areas. Patients in the RM group from the Perm region were 15.56 times more likely to achieve target LDL levels compared to a similar group without RM. Conclusion. The RM system had a positive effect on the reduction of LDL and cholesterol in groups of residents, both in urban and rural areas.