Schwartze D
Ehemalige Kreisstelle für Kardiologie, Halle/Saale.
Z Gesamte Inn Med. 1991 Jan-Feb;46(1-2):27-31.
A eight-year respectively ten-year study from 3285 patients on the prognosis and rehabilitation after definite and possible myocardial infarction of the HIR 1974-1981 was made in Halle/S. The survival rate among the infarction population was 42.1 percent after ten years. The reinfarction rate was 9.8 percent. The rate at which the patients returned to work in relation to all patients who had been fit to work before their first registered infarction is 50.5 percent for population 65 years of age and younger. Acute myocardial infarction was the primary cause of invalidity of 35.4 percent of the patients. Late invalidity was 23.2 percent. After ten years 37.8 percent of the patients took up full-time employment. The kinetotherapy in the phase II and/or III of the rehabilitation may be carried out by 367 patients (age 50.4 +/- 6.3 years) = group II and was not carried out by 242 patients (age 52.3 +/- 7.2 years) = group I. The lethality was in group I 55.9 respect. 28.3 percent in group II after eight years. Mortality after reinfarction was in physically active group II less than in inactive group I. The late invalidity was in active group II greater (16.9 percent) than in inactive group I (9.1 percent). By the long-time rehabilitation under doctors control were the complications of the coronary heart disease decreased.
1974年至1981年期间,在哈雷/萨勒对3285例确诊和可能发生心肌梗死的患者进行了为期八年和十年的预后及康复研究。心肌梗死人群十年后的生存率为42.1%。再梗死率为9.8%。65岁及以下人群中,相对于首次登记梗死前适合工作的所有患者,恢复工作的患者比例为50.5%。急性心肌梗死是35.4%患者致残的主要原因。晚期致残率为23.2%。十年后,37.8%的患者从事全职工作。367例患者(年龄50.4±6.3岁)=第二组可在康复的第二阶段和/或第三阶段进行运动疗法,而242例患者(年龄52.3±7.2岁)=第一组未进行运动疗法。第一组的致死率为55.9%。八年后第二组为28.3%。再梗死后的死亡率在身体活动的第二组低于不活动的第一组。晚期致残率在活动的第二组(16.9%)高于不活动的第一组(9.1%)。在医生的控制下进行长期康复可降低冠心病的并发症。