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ARTICLE |

Exercise Tests After Myocardial Infarction FREE

Samuel Vaisrub, MD
JAMA. 1980;243(3):261-261. doi:10.1001/jama.1980.03300290043023
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Published online

Early ambulation after myocardial infarction is no longer news. We have taken in our stride the speed with which patients traverse the trajectory of intensive coronary care unit—ward— home.1

It may take longer to adjust to early exercise testing after myocardial infarction, even though this practice is not altogether new2 and its safety has been demonstrated by a number of observers.3,4 Until recently the main purpose in such testing has been to assess the working capacity during the convalescent phase, as indicated by untoward symptoms, ST-T wave changes, and arrhythmias.

Dillahunt and Miller5 have designed a study of early exercise testing with a more ambitious aim of predicting the extent of coronary artery disease and left ventricular dysfunctions. They accomplished this by correlating the results of a treadmill test soon after the onset of myocardial infarction, with angiographic and hemodynamic data obtained at a later date.

REFERENCES

Swan HJC, Blackburn HW, DeSanctis R, et al:  Duration of hospitalization in "uncomplicated completed acute myocardial infarction" and ad hoc committee review . Am J Cardiol 37:413-419, 1976;.
Atterhög J-H, Ekelund LG, Kayser L:  Electrocardiographic abnormalities during exercise three weeks to 18 months after arterior myocardial infarction . Br Heart J 33:871-877, 1971;.
Markievicz W, Houston N, De Busk RF:  Exercise testing soon after myocardial infarction . Circulation 56:26-31, 1977;.
Jelinek VM, Ziffer RW, McDonald IG, et al:  Early exercise testing and mobilization after myocardial infarction . Med J Aust 2:589-593, 1977;.
Dillahunt PH, Miller AB:  Early treadmill testing after myocardial infarction . Chest 76:150-155, 1979;.
Theroux P, Waters DD, Haplhen C, et al:  Prognostic value of exercise testing soon after myocardial infarction . N Engl J Med 301:341-345, 1979;.

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Swan HJC, Blackburn HW, DeSanctis R, et al:  Duration of hospitalization in "uncomplicated completed acute myocardial infarction" and ad hoc committee review . Am J Cardiol 37:413-419, 1976;.
Atterhög J-H, Ekelund LG, Kayser L:  Electrocardiographic abnormalities during exercise three weeks to 18 months after arterior myocardial infarction . Br Heart J 33:871-877, 1971;.
Markievicz W, Houston N, De Busk RF:  Exercise testing soon after myocardial infarction . Circulation 56:26-31, 1977;.
Jelinek VM, Ziffer RW, McDonald IG, et al:  Early exercise testing and mobilization after myocardial infarction . Med J Aust 2:589-593, 1977;.
Dillahunt PH, Miller AB:  Early treadmill testing after myocardial infarction . Chest 76:150-155, 1979;.
Theroux P, Waters DD, Haplhen C, et al:  Prognostic value of exercise testing soon after myocardial infarction . N Engl J Med 301:341-345, 1979;.
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