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[心肌梗死后住院康复的结果]

[Results of in-patient rehabilitation after myocardial infarction].

作者信息

Niederhauser H U, Müller M, Steinbrunn W

出版信息

Schweiz Med Wochenschr. 1980 Dec 13;110(50):1932-4.

PMID:7209470
Abstract

431 of 435 patients with recent myocardial infarction completed our clinic's 4-week rehabilitation program in 1979. 235 presented with post-infarction angina pectoris (a.p.). Of these patients, 152 achieved a decrease of one or more a.p. functional classes, 70 remained in the same class and in 12 the symptoms worsened by one or more classes. The mean physical work capacity under maximal bicycle-stress test increased by 19 Watt. Overall ventricular arrhythmia frequency under stress remained unchanged from beginning to end of our program. Individual arrhythmia frequency, however, varied widely with or without antiarrhythmic drug therapy. During exercise training, 3 nonfatal cardiac events occurred. There were no fatalities. It is concluded that our training program can be performed relatively safely and that physical work capacity can be increased during the rehabilitation program.

摘要

1979年,435例近期心肌梗死患者中有431例完成了我们诊所为期4周的康复计划。235例患者出现梗死后心绞痛(a.p.)。在这些患者中,152例患者的心绞痛功能分级降低一级或更多级,70例患者保持在同一级别,12例患者的症状恶化一级或更多级。最大自行车运动应激试验下的平均体力工作能力增加了19瓦。在我们的计划开始到结束期间,应激状态下的总体室性心律失常频率保持不变。然而,无论有无抗心律失常药物治疗,个体心律失常频率差异很大。在运动训练期间,发生了3例非致命性心脏事件。无死亡病例。结论是我们的训练计划可以相对安全地进行,并且在康复计划期间体力工作能力可以提高。

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