The management of myocardial infarction. A clinical and haemodynamic study

[摘要] An investigation into the effects of earlier mobilisation of patients who have sustained a myocardial infarction is presented. Two comparable groups of male patients have been studied. One group has been treated with a strict bed rest regime, and has been nursed in bed for twenty-five days, after which gradual mobilisation was undertaken over a period of ten days. The other group was treated for fourteen days in bed during which considerable freedom of activity was allowed and then mobilised over a period of seven days in hospital with discharge after 21 days. The two groups of patients were comparable in terms of age, sex, duration of severity of illness and previous history of infarction. It has been found that the early mobilisation programme has not been deleterious to the patients in respect of mortality or morbidity or the development of serious arrhythmia or other complications of infarction; nor has this programme increased the incidence of aneurysm formation in the earlier mobilised group. The incidence of neurotic reaction in the two groups was not significantly different, when this was assessed in hospital and after discharge, nor were significant differences detected when, the groups were tested psychologically using the Eysenck Personality Inventory. The earlier mobilised group has been found to return to work more rapidly than the other group, but after six months no significant differences were found in the numbers returning to work between the two groups. Cardiac outputs have been estimated using a dye dilution technique on three groups of patients in the o supine and in the 45

[发布机构] University:University of Glasgow

[关键词] Medicine