Fiegler V H, Kothe K, Dahn G
Kreiskrankenhaus Rüdersdorf, Innere Abteilung, Bereich Medizin (Charité) der Humboldt Universität zu Berlin.
Z Alternsforsch. 1989 Sep-Oct;44(5):281-5.
The extent of the acute damage to the myocardium essentially determines the prognosis for patients after acute myocardial infarction. The definition of the risk in the early hospital phase by a semiquantitative evaluation of the infarction size is of great important to the layout of active early mobilisation and is done by iso-enzyme monitoring of lactate dehydrogenase. Beginning, intensity, and duration of the mobilisation programme are fixed individually according to risk groups under consideration of previous myocardial damages and of age. With older patients the stay in hospital is longer, and their performance in the informative exercise test is lower. In the course of the outpatient post-infarction conditioning the peculiarities of the older myocardial infarction patient should be taken into account.
心肌急性损伤的程度在本质上决定了急性心肌梗死后患者的预后。通过对梗死面积进行半定量评估来确定早期住院阶段的风险，这对于积极开展早期活动的规划非常重要，可通过乳酸脱氢酶同工酶监测来完成。根据风险分组，并考虑既往心肌损伤情况和年龄，个体化确定活动计划的起始、强度和持续时间。老年患者住院时间更长，且他们在信息性运动试验中的表现更低。在门诊心肌梗死后康复过程中，应考虑老年心肌梗死患者的特殊情况。
