Exercise-Based Cardiac Rehabilitation in Acute Myocardial Infarction Management：Global Perspectives，Multimodal Interventions，and Personalized Strategies postprint

Abstract: Acute myocardial infarction (AMI) remains one of the leading causes of mortality and disability worldwide，making the optimization of long-term post-procedural management a key focus in cardiovascular medicine. Exercise-based cardiac rehabilitation (EBCR)，as a core intervention recommended by evidence-based medicine，has demonstrated significant benefits in enhancing cardiopulmonary function，alleviating psychological stress，and improving overall quality of life by integrating diverse exercise modalities with personalized management strategies. The rapid advancement of precision medicine，smart technologies，and psychosocial interventions has provided new opportunities for the expansion of EBCR，particularly in resource-limited settings. However，the global implementation of EBCR still faces substantial challenges，including limited healthcare accessibility，economic constraints，and poor patient adherence，especially in regions with insufficient medical resources. This study systematically reviews the global landscape of EBCR implementation，regional disparities，and the efficacy of multidimensional interventions and personalized approaches. Furthermore，it explores future directions in the integration of intelligent technologies，policy frameworks，and interdisciplinary collaborations，aiming to provide targeted theoretical insights and practical guidance for optimizing AMI rehabilitation management.