Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care
Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 ± 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (a...
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| Veröffentlicht in: | The American journal of cardiology 1985-02, Vol.55 (4), p.251-257 |
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| container_issue | 4 |
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| container_title | The American journal of cardiology |
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| creator | DeBusk, Robert F. Haskell, William L. Miller, Nancy H. Berra, Kathy Taylor, Craig Barr |
| description | Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 ± 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 ± 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. Medically directed at-home rehabilitation has the potential to increase the availability and to decrease the cost of rehabilitating low-risk survivors of AMI. |
| doi_str_mv | 10.1016/0002-9149(85)90355-8 |
| format | Article |
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Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 ± 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. 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Vascular system ; Coronary Disease - etiology ; Coronary heart disease ; Exercise Therapy - adverse effects ; Exercise Therapy - economics ; Exercise Therapy - methods ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - economics ; Myocardial Infarction - rehabilitation ; Myocardial Infarction - therapy ; Patient Compliance ; Physical Exertion ; Prescriptions ; Random Allocation ; Self Care - methods</subject><ispartof>The American journal of cardiology, 1985-02, Vol.55 (4), p.251-257</ispartof><rights>1985</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-ed36105298bd87c529636a92a4731c8091a0313cbd45340ba2592ce2d7e920a73</citedby><cites>FETCH-LOGICAL-c386t-ed36105298bd87c529636a92a4731c8091a0313cbd45340ba2592ce2d7e920a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002914985903558$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9020075$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3969859$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DeBusk, Robert F.</creatorcontrib><creatorcontrib>Haskell, William L.</creatorcontrib><creatorcontrib>Miller, Nancy H.</creatorcontrib><creatorcontrib>Berra, Kathy</creatorcontrib><creatorcontrib>Taylor, Craig Barr</creatorcontrib><title>Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 ± 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 ± 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. Medically directed at-home rehabilitation has the potential to increase the availability and to decrease the cost of rehabilitating low-risk survivors of AMI.</description><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Disease - etiology</subject><subject>Coronary heart disease</subject><subject>Exercise Therapy - adverse effects</subject><subject>Exercise Therapy - economics</subject><subject>Exercise Therapy - methods</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - economics</subject><subject>Myocardial Infarction - rehabilitation</subject><subject>Myocardial Infarction - therapy</subject><subject>Patient Compliance</subject><subject>Physical Exertion</subject><subject>Prescriptions</subject><subject>Random Allocation</subject><subject>Self Care - methods</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-KFDEQh4Mo67j6Bgo5iOihNel0upM9CMviP1jxoudQnVSzkXRnTNLKPIGvbWanmaOXJEV9v6L4Qshzzt5yxvt3jLG20bzTr5V8o5mQslEPyI6rQTdcc_GQ7M7IY_Ik55-15Fz2F-RC6F4rqXfk71d03kIIB-p8QlvQUSjNXZyRJryD0QdfoPi40BzrAVPBRG3wy5ZaFxvnfajVfdSuBel8iBaS8xCoXyZI9pi_otd0wT90jg4DnWKi-zoXl0Iri0_JowlCxmfbfUl-fPzw_eZzc_vt05eb69vGCtWXBp3oOZOtVqNTg62PXvSgW-gGwa1imgMTXNjRdVJ0bIRW6tZi6wbULYNBXJJXp7n7FH-tmIuZfbYYAiwY12wGqbliSlSwO4E2xZwTTmaf_AzpYDgzR__mKNcc5Rolzb1_o2rsxTZ_HWd059AmvPZfbn3IVeCUYLE-nzHNWsYGWbH3Jwyri98ek8m2urJ4-iTjov__Hv8AtvWivw</recordid><startdate>19850201</startdate><enddate>19850201</enddate><creator>DeBusk, Robert F.</creator><creator>Haskell, William L.</creator><creator>Miller, Nancy H.</creator><creator>Berra, Kathy</creator><creator>Taylor, Craig Barr</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19850201</creationdate><title>Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care</title><author>DeBusk, Robert F. ; Haskell, William L. ; Miller, Nancy H. ; Berra, Kathy ; Taylor, Craig Barr</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-ed36105298bd87c529636a92a4731c8091a0313cbd45340ba2592ce2d7e920a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Disease - etiology</topic><topic>Coronary heart disease</topic><topic>Exercise Therapy - adverse effects</topic><topic>Exercise Therapy - economics</topic><topic>Exercise Therapy - methods</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - economics</topic><topic>Myocardial Infarction - rehabilitation</topic><topic>Myocardial Infarction - therapy</topic><topic>Patient Compliance</topic><topic>Physical Exertion</topic><topic>Prescriptions</topic><topic>Random Allocation</topic><topic>Self Care - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeBusk, Robert F.</creatorcontrib><creatorcontrib>Haskell, William L.</creatorcontrib><creatorcontrib>Miller, Nancy H.</creatorcontrib><creatorcontrib>Berra, Kathy</creatorcontrib><creatorcontrib>Taylor, Craig Barr</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeBusk, Robert F.</au><au>Haskell, William L.</au><au>Miller, Nancy H.</au><au>Berra, Kathy</au><au>Taylor, Craig Barr</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1985-02-01</date><risdate>1985</risdate><volume>55</volume><issue>4</issue><spage>251</spage><epage>257</epage><pages>251-257</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 ± 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 ± 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. Medically directed at-home rehabilitation has the potential to increase the availability and to decrease the cost of rehabilitating low-risk survivors of AMI.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3969859</pmid><doi>10.1016/0002-9149(85)90355-8</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 1985-02, Vol.55 (4), p.251-257 |
| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Arrhythmias, Cardiac - etiology Biological and medical sciences Cardiology. Vascular system Coronary Disease - etiology Coronary heart disease Exercise Therapy - adverse effects Exercise Therapy - economics Exercise Therapy - methods Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - economics Myocardial Infarction - rehabilitation Myocardial Infarction - therapy Patient Compliance Physical Exertion Prescriptions Random Allocation Self Care - methods |
| title | Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model for patient care |
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