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ARTICLE |

Rehabilitation After Myocardial Infarction FREE

Nanette K. Wenger, MD
[+] Author Affiliations

This article is one of a series sponsored by the American Heart Association.

Reprints not available.


JAMA. 1979;242(26):2879-2881. doi:10.1001/jama.1979.03300260049030
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The concept that many patients with symptomatic coronary atherosclerotic heart disease, including myocardial infarction, can and should return toward normal living is the basis of the rehabilitation effort. The primary care physician is increasingly employing this approach in the care of patients with myocardial infarction. Much of the capacity to effect rehabilitation should be available in the community hospital, in the office of the primary physician, or through community, governmental, public, and voluntary health care agencies and facilities. Although some patients with complex diagnostic problems and more severe impairment require consultative services or referral to specialized cardiac centers, all patients must eventually be returned to the care system and services of their local communities.

(JAMA 242:2879-2881, 1979)

REFERENCES

Report of the Task Force on Cardiovascular Rehabilitation, National Heart and Lung Institute: Needs and Opportunities for Rehabilitating the Coronary Heart Disease Patient, Dec 15, 1974 , National Institutes of Health 75-750. US Dept of Health, Education, and Welfare, 1974;, pp 1-93.
 Report of a Joint Working Party of the Royal College of Physicians of London and The British Cardiac Society on Rehabilitation after Cardiac Illness: Cardiac Rehabilitation 1975 . J R Coll Physicians Lond 9:281-346, 1975;.
Wenger NK, Hellerstein HK (eds): Rehabilitation of the Coronary Patient . New York, John Wiley & Sons Inc, 1978;.
Saltin B, Blomqvist G, Mitchell JH, et al:  Response to exercise after bed rest and training . Circulation 37-38( (suppl 7) ):1-55, 1968;.
Fareeduddin K, Abelmann WH:  Impaired orthostatic tolerance after bed rest in patients with myocardial infarction . N Engl J Med 280:345-346, 1969;.
Hayes MJ, Morris GK, Hamptom JR:  Comparison of mobilization after two and nine days in uncomplicated myocardial infarction . Br Med J 3:10-13, 1974;.
Bloch A, Maeder J-P, Haissly J-C, et al:  Early mobilization after myocardial infarction: A controlled study . Am J Cardiol 34:152-157, 1974;.
Nolewajka AJ, Kostuk WJ, Rechnitzer PA, et al:  Exercise and human collateralization: An angiographic and scintigraphic assessment . Circulation 60:114-121, 1979;.
Mitchell JH:  Exercise training in the treatment of coronary heart disease . Adv Intern Med 20:249-272, 1975;.
Clausen JP:  Circulatory adjustments to dynamic exercise and effect of physical training in normal subjects and in patients with coronary artery disease . Prog Cardiovasc Dis 18:459-495, 1976;.
Fox SM III, Naughton JP, Gorman PA:  Physical activity and cardiovascular health: I. Potential for prevention of coronary heart disease and possible mechanisms: II. The exercise prescription: Intensity and duration: III. The exercise prescription: Frequency and type of activity . Mod Concepts Cardiovasc Dis 41:17-30, 1972;.
Haskell WL:  Cardiovascular complications during exercise training of cardiac patients . Circulation 57:920-924, 1978;.
Erb BD, Fletcher GF, Sheffield TL:  Standards for cardiovascular exercise treatment programs, American Heart Association Subcommittee on Rehabilitation Target Activity Group . Circulation 59:1084A-1090A, 1979;.
Wishnie HA, Hackett TP, Cassem NH:  Psychological hazards of convalescence following myocardial infarction . JAMA 215:1292-1296, 1971;.

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Report of the Task Force on Cardiovascular Rehabilitation, National Heart and Lung Institute: Needs and Opportunities for Rehabilitating the Coronary Heart Disease Patient, Dec 15, 1974 , National Institutes of Health 75-750. US Dept of Health, Education, and Welfare, 1974;, pp 1-93.
 Report of a Joint Working Party of the Royal College of Physicians of London and The British Cardiac Society on Rehabilitation after Cardiac Illness: Cardiac Rehabilitation 1975 . J R Coll Physicians Lond 9:281-346, 1975;.
Wenger NK, Hellerstein HK (eds): Rehabilitation of the Coronary Patient . New York, John Wiley & Sons Inc, 1978;.
Saltin B, Blomqvist G, Mitchell JH, et al:  Response to exercise after bed rest and training . Circulation 37-38( (suppl 7) ):1-55, 1968;.
Fareeduddin K, Abelmann WH:  Impaired orthostatic tolerance after bed rest in patients with myocardial infarction . N Engl J Med 280:345-346, 1969;.
Hayes MJ, Morris GK, Hamptom JR:  Comparison of mobilization after two and nine days in uncomplicated myocardial infarction . Br Med J 3:10-13, 1974;.
Bloch A, Maeder J-P, Haissly J-C, et al:  Early mobilization after myocardial infarction: A controlled study . Am J Cardiol 34:152-157, 1974;.
Nolewajka AJ, Kostuk WJ, Rechnitzer PA, et al:  Exercise and human collateralization: An angiographic and scintigraphic assessment . Circulation 60:114-121, 1979;.
Mitchell JH:  Exercise training in the treatment of coronary heart disease . Adv Intern Med 20:249-272, 1975;.
Clausen JP:  Circulatory adjustments to dynamic exercise and effect of physical training in normal subjects and in patients with coronary artery disease . Prog Cardiovasc Dis 18:459-495, 1976;.
Fox SM III, Naughton JP, Gorman PA:  Physical activity and cardiovascular health: I. Potential for prevention of coronary heart disease and possible mechanisms: II. The exercise prescription: Intensity and duration: III. The exercise prescription: Frequency and type of activity . Mod Concepts Cardiovasc Dis 41:17-30, 1972;.
Haskell WL:  Cardiovascular complications during exercise training of cardiac patients . Circulation 57:920-924, 1978;.
Erb BD, Fletcher GF, Sheffield TL:  Standards for cardiovascular exercise treatment programs, American Heart Association Subcommittee on Rehabilitation Target Activity Group . Circulation 59:1084A-1090A, 1979;.
Wishnie HA, Hackett TP, Cassem NH:  Psychological hazards of convalescence following myocardial infarction . JAMA 215:1292-1296, 1971;.
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