Schauer I, Köhler H, Günter K, Liusov V A, Gorbachenkov A A
Kardiologiia. 1977 Dec;17(12):66-70.
The substantiation and the indications and contraindications for the physical training of patients who have had myocardial infarction are discussed on the basis of the experience gained at the Clinic of Internal Diseases of the Medical Department of K. Marx University in Leipzig (DDR) and the First Chair of Hospital Therapy of the N.I. Pirogov Second Moscow Medical Institute. On the strength of their own findings and the information in the current literature, the authors name, among other precoditions for training, diminution of capacity for muscular work, psychologic instability and the persisting threat of the progression of ischemic heart disease. The methods of functional diagnosis, which is also a necessary precondition for the physical rehabilitation of the patients are bicycle ergometry, auxiliary tests for the gaseous composition of blood and exhaled air, determination of the heart volume by means of X-ray, catheterization of the pulmonary artery with a floating catheter, ventriculography, and coronarography.
基于在(民主德国)莱比锡卡尔·马克思大学医学部内科诊所以及莫斯科第二医学院尼·伊·皮罗戈夫第一医院治疗学教研室所取得的经验,探讨了心肌梗死患者体育锻炼的依据、适应证和禁忌证。根据自身研究结果及当前文献资料,作者指出,除其他训练前提条件外,肌肉工作能力下降、心理不稳定以及缺血性心脏病进展的持续威胁。功能诊断方法也是患者身体康复的必要前提,包括自行车测力计测试、血液和呼出气体气体成分的辅助检测、通过X射线测定心脏容积、使用漂浮导管进行肺动脉导管插入术、心室造影和冠状动脉造影。