Salonen J T, Puska P
Scand J Rehabil Med. 1980;12(1):33-42.
The comprehensive community programme for the control of cardiovascular diseases in North Karelia includes a special subprogramme for the rehabilitation and secondary prevention among patients with an acute myocardial infarction (AMI). The target group of the programme were persons under the age of 65 who had an AMI according to the community-based AMI register and had survived the acute phase of the disease. The programme consisted of systematic long-term medical follow-up at an outpatient MI clinic and of decentralized local group-rehabilitation with special emphasis on secondary prevention. The main component of the programme were health education and submaximal physical exercise, aiming at the reduction of the known secondary risk factors and the improvement of the general well-being of the patients. The feasibility of this programme was good. During the five-year period from 1973 to 1977 a total of 1308 persons under the age of 65 survived an AMI. Out of these patients 515 visited the outpatient MI clinic and 575 took part in the rehabilitation groups. The participation rate in the rehabilitation groups in the whole community increased during the period from 24% to 63%. During the programme period there was a reduction in incidence of recurrent infarctions and new vocational invalidity pensions among the patients with AMI.
北卡累利阿综合社区心血管疾病控制项目包括一个针对急性心肌梗死（AMI）患者康复及二级预防的特殊子项目。该项目的目标群体为65岁以下、根据社区AMI登记确诊为AMI且已度过疾病急性期的患者。该项目包括在门诊心肌梗死诊所进行系统的长期医疗随访以及侧重于二级预防的分散式本地群体康复。该项目的主要组成部分是健康教育和次最大强度体育锻炼，旨在降低已知的二级风险因素并改善患者的总体健康状况。该项目的可行性良好。在1973年至1977年的五年期间，共有1308名65岁以下患者从AMI中存活下来。在这些患者中，515人前往门诊心肌梗死诊所就诊，575人参加了康复小组。在此期间，整个社区康复小组的参与率从24%提高到了63%。在项目实施期间，AMI患者的再梗死发生率和新的职业伤残抚恤金有所减少。
