Wenger N K
JAMA. 1979 Dec 28;242(26):2879-81.
The concept that many patients with asymptomatic coronary atherosclerotic heart disease, including myocardial infarction, can and should return toward normal living is the basis of the rehabilitation effort. The primary care physician is increasingly employing this approach in the care of patients with myocardial infarction. Much of the capacity to effect rehabilitation should be available in the community hospital, in the office of the primary physician, or through community, governmental, public, and voluntary health care agencies and facilities. Although some patients with complex diagnostic problems and more severe impairment require consultative services or referral to specialized cardiac centers, all patients must eventually be returned to the care system and services of their local communities.
许多无症状冠状动脉粥样硬化性心脏病患者，包括心肌梗死患者，能够且应该回归正常生活，这一理念是康复工作的基础。基层医疗医生在心肌梗死患者的护理中越来越多地采用这种方法。实现康复的大部分能力应可在社区医院、基层医生办公室，或通过社区、政府、公共及志愿性医疗保健机构和设施获得。尽管一些诊断问题复杂且损伤更严重的患者需要咨询服务或转诊至专业心脏中心，但所有患者最终都必须回归其当地社区的护理系统和服务中。
