Effect of remote monitoring system on lipid profile after myocardial infarction in urban and rural areas of Perm Krai

Objective: to assess the impact of the remote monitoring system on the lipid profile after myocardial infarction (MI) in urban and rural areas of the Perm Krai. Materials and Methods. Our study conducted from 2020 through 2022 included 253 patients diagnosed with MI. The study compared two groups of patients: those who did not participate (n=105) and those who participated in the Remote Health Monitoring of Patients with Cardiovascular Diseases (RM) program (n=148). RM of patients was carried out at least once a month by telephone calls using an approved list of questions. Results. The group of patients participating in the RM system exhibited a significant improvement in the lipid profile vs. groups of patients not participating in the RM program. The total cholesterol levels in the RM groups of Perm Krai and city of Perm were 3.77 and 4.30 mmol/L, respectively, vs. 5.50 and 4.50 mmol/L in the rural and urban groups without RM. Statistically significant differences between the groups were observed only in Perm Krai (p=0.002). The low-density lipoprotein (LDL) level in patients with RM was 1.77 mmol/L in Perm Krai and 2.31 mmol/L in the city of Perm vs. 3.24 and 2.67 mmol/L in the rural and urban groups without RM (p=0.049 and p=0.025), respectively). Patients in the RM group from Perm Krai were 15.6 times more likely to achieve target LDL values than their counterparts without RM. Conclusion. The RM system had a favorable effect on reducing LDL and cholesterol in both urban and rural groups of residents.