DeBusk R F, Haskell W L, Miller N H, Berra K, Taylor C B, Berger W E, Lew H
Am J Cardiol. 1985 Feb 1;55(4):251-7. doi: 10.1016/0002-9149(85)90355-8.
Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 +/- 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 +/- 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. Medically directed at-home rehabilitation has the potential to increase the availability and to decrease the cost of rehabilitating low-risk survivors of AMI.
对127名平均年龄为53±7岁的男性进行了研究，比较了在临床症状不复杂的急性心肌梗死（AMI）3周后开始的医学指导下的家庭康复与集体康复。在AMI后的3至26周期间，随机分配到家庭训练组的66名男性和随机分配到集体训练组的61名男性中，对个体化规定运动的依从性同样高（至少71%），功能能力的增加同样大（1.8±1.0代谢当量），非致命性再梗死和退出率同样低（均为3%或更低）。两组均未发生与训练相关的并发症。整个研究中包括34名未接受训练的患者和37名对照患者，再梗死和死亡率较低（分别为5%和1%），这反映了一个逐步的临床评估过程，即3周时进行运动测试，并对接受运动训练的患者进行频繁的电话监测。医学指导下的家庭康复有可能提高AMI低风险幸存者康复治疗的可及性并降低成本。
