Saito M, Fuseno H, Honda T, Haze K, Hiramori K
Jpn Circ J. 1983 Jun;47(6):686-95. doi: 10.1253/jcj.47.686.
Out of 330 patients with acute myocardial infarction (AMI) admitted to our institution, 256 patients entered our 3-week rehabilitation program and discharged from the hospital. Through the execution of the program, its feasibility and safety were examined, and guidelines for the progress of the program were re-evaluated. The state of outpatient community life and its determining factors were also investigated by a questionnaire. The following results were obtained: 1) Over 90% of patients with uncomplicated MI could complete the rehabilitation nearly on schedule, indicating the feasibility of the program. 2) Mortality after ambulation and serious complications related to rehabilitative activities were very few, indicating the safety of our rehabilitation program. 3) Among guidelines for the progression of the program generally accepted, the case for an elevation of blood pressure as well as an ST depression was found to be especially important in order to prevent serious complications. 4) Age, discharge exercise capacity, left ventricular function and the severity of coronary disease were important factors influencing the patients' returning to work.
在我院收治的330例急性心肌梗死（AMI）患者中，256例患者参加了为期3周的康复计划并出院。通过该计划的实施，对其可行性和安全性进行了检查，并重新评估了计划进展的指导方针。还通过问卷调查对门诊社区生活状况及其决定因素进行了调查。获得了以下结果：1）超过90%的无并发症心肌梗死患者能够几乎按时完成康复，表明该计划的可行性。2）行走后的死亡率和与康复活动相关的严重并发症很少，表明我们的康复计划是安全的。3）在普遍接受的计划进展指导方针中，发现血压升高以及ST段压低的情况对于预防严重并发症尤为重要。4）年龄、出院时的运动能力、左心室功能和冠心病的严重程度是影响患者重返工作的重要因素。
