scispace - formally typeset
Search or ask a question
Journal ArticleDOI

Evaluation of cardiac rehabilitation in relation to prognosis.

20 Jun 1983-Japanese Circulation Journal-english Edition (The Japanese Circulation Society)-Vol. 47, Iss: 6, pp 729-734
TL;DR: A rehabilitation program for patients with post-myocardial infarction is designed by modifying the 14-step program of Emory University into a more suitable form for a Japanese by comparing the clinical course of patients with that of the patients in affiliated institutions, where patients had no systematic rehabilitation therapy.
Abstract: We designed a rehabilitation program for patients with post-myocardial infarction by modifying the 14-step program of Emory University into a more suitable form for a Japanese. The usefulness of this rehabilitation program was evaluated by comparing the clinical course of our patients with that of the patients in our affiliated institutions, where patients had no systematic rehabilitation therapy. The following results were obtained: 1) Most patients of the rehabilitation-completed group were living a non-restricted life 6 months after discharge. The life style of the rehabilitation group even including the rehabilitation-non-completed group, was far better than that of the non-rehabilitation group. 2) Many patients of the rehabilitation group were working at the same job as before infarction 3 years after discharge, while a substantial number of the patients of the non-rehabilitation group had changed their job or retired within 3 years after discharge. 3) The reason for changing job or retiring was primarily subjective symptoms or objective findings in the rehabilitation-completed group, while it was mostly fear in the non-rehabilitation group. 4) Patients who could not complete our program were mainly old patients of over 70 years of age, patients with extensive anterior infarction and subendocardial infarction and ones with complications such as shock and cardiac failure.
Citations
More filters
Journal ArticleDOI
TL;DR: There is solid ground for prescribing exercise-centered cardiac rehabilitation after an uncomplicated myocardial infarction, and the positive effects on total mortality, exercise can improve mood state and increase physical working capacity.
Abstract: In brief: This review article discusses the limitations of 14 randomized controlled trials of exercise rehabilitation for patients who had sustained a myocardial infarction. Seven of nine major trials involved 3,222 patients, whose conditions were followed for one to nine years; total mortality was reduced by 20% to 50% in these studies. Although pooling this information to obtain statistical significance is difficult, the results are compatible with a substantial therapeutic benefit. In addition to the positive effects on total mortality, exercise can improve mood state and increase physical working capacity. Thus, there is solid ground for prescribing exercise-centered cardiac rehabilitation after an uncomplicated myocardial infarction.

3 citations

References
More filters
Journal ArticleDOI
01 May 1972-Heart
TL;DR: Two hundred consecutive male cases of myocardial infarction have been treated along lines designed to provide a minimal time spent in bed, and in hospital, with early return to work.
Abstract: Two hundred consecutive male cases of myocardial infarction have been treated along lines designed to provide a minimal time spent in bed, and in hospital, with early return to work. The method of treatment and the results are described. Rapid rehabilitation enabled 40 per cent to be discharged within a fortnight and 87 per cent within a month. Twenty-three per cent returned to work within 4 weeks of the onset of their illness, 56 per cent within 6 weeks, and 77 per cent within 8 weeks. There were no ill effects either in hospital or during a 6-month follow-up after discharge. Rapid rehabilitation is both possible and desirable. The active participation of a medical social worker in all cases is essential.

22 citations

Journal Article
TL;DR: Early ambulation is a recommended component of care for appropriately selected patients with uncomplicated myocardial infarction, which is feasible, safe, and cost-effective.
Abstract: Early ambulation is a recommended component of care for appropriately selected patients with uncomplicated myocardial infarction, which is feasible, safe, and cost-effective. Benefits of this approach include the prevention of cardiovascular "deconditioning" and other complications of prolonged bed rest, the prevention or reduction of anxiety and depression, the enhancement of physical work capacity and of self-image and self-confidence at the time of hospital discharge, and the lessening of total disability as assessed at followup examination. Economic advantages to be derived are those of permitting a shorter hospitalization, a more effective hospital bed utilization, and an earlier and more complete return to work.

13 citations