Mobilization and early hospital discharge for patients with acute myocardial infarction: literature review

Lopes, Juliana de Lima; Santos, Juliana Turca dos; Lima, Sheila Cristina de; Barros, Alba Lúcia Bottura Leite de

doi:10.1590/s0103-21002008000200018

Cited by 5 publications

(10 citation statements)

References 25 publications

(63 reference statements)

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“…Despite this belief, several complications derived from a prolonged period of bed rest arose, including venous thrombosis and subsequent pulmonary embolism, stasis pneumonia, atelectasis, pressure ulcers, muscular atrophy, and depression. 4,5 On the other hand, the pathophysiological mecha-nism of myocardial infarction derives from an imbalance between the myocardial oxygen demand and supply. The oxygen supply is affected by the impaired coronary flow due to acute coronary occlusion, while the demand is enhanced by increased heart rate, contractility, and workload.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, patient bed rest has become an important method for the reduction of ventricular workload in the acute phase of a myocardial infarction. 4,6 Regardless of the known therapeutic benefits of bed rest following an AMI, there are scarce data regarding a standardized protocol for the early rehabilitation of patients with AMI. The lack of a guideline consensus for the duration of bed rest has been illustrated by the disparity of the reported immobilization times after AMI in several studies that ranges from 2 days, up to almost one month.…”

Section: Introductionmentioning

confidence: 99%

“…The lack of a guideline consensus for the duration of bed rest has been illustrated by the disparity of the reported immobilization times after AMI in several studies that ranges from 2 days, up to almost one month. 4,6…”

Section: Introductionmentioning

confidence: 99%

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Mobilization of Patients Suffering from Acute Myocardial Infarction – When Is It Too Early?

Opincariu

Hodaş

2019

Journal of Cardiovascular Emergencies

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The significant raise in the number of patients surviving an acute myocardial infarction (AMI) has increased the burden of morbidity and disability due to acute coronary events. This has led to an increasing awareness on the need to develop specific rehabilitation programs, both during the acute phase, as well as in out-patient settings. In the pre-revascularization era, AMI was treated in bed. Regardless of the known therapeutic benefits of bed rest, there are scarce data regarding a standardized protocol for the early rehabilitation of patients with AMI. An extensive group of AMI patients are still exposed to prolonged immobilization, with current data showing a disparity in the length of post-MI bed rest, with a time of immobilization reported to be from 2 to 12 days and 2 to 28 days. The growing body of evidence on the effects of early cardiac rehabilitation programs following an AMI suggests that early mobilization after the index event could improve the inflammatory response and further modulate the ventricular remodeling process. The timing, duration, and intensity of cardiac mobilization has not yet been established, and further research on the effects of mobilization as early as the first 12 to 24 hours after the acute event could be beneficial for both short- and long-term outcomes, inflammation, and ventricular remodeling with subsequent heart failure.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mobilization of Patients Suffering from Acute Myocardial Infarction – When Is It Too Early?

Opincariu

Hodaş

2019

Journal of Cardiovascular Emergencies

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“…Bed rest and immobilization in the early hours is one of the strategies for effective surveillance and treatment recommended for acute myocardial infarction (6).…”

Section: Introductionmentioning

confidence: 99%

“…However, researchers recommended that further studies are needed (14). Results of some studies suggested that early rehabilitation during the acute phase of myocardial infarction could reduce the adverse effects of long-term bed rest and reduce the length of hospitalization (6,7).…”

Section: Introductionmentioning

confidence: 99%

Effects of Early Mobilization Program on the Heart Rate and Blood Pressure of Patients With Myocardial Infarction Hospitalized at the Coronary Care Unit

Asgari

Jafarpoor

Soleimani

et al. 2015

Middle East J Rehabil Health

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Background: Myocardial infarction (MI) is amongst medical emergency situations. Decline of heart rate and blood pressure during the initial days after admission due to myocardial infarction are the main goals of treatment that decrease the pressure on the myocardium. Objectives: This study was performed to determine the effects of patients early mobilization program on heart rate and blood pressure of patients with MI hospitalized at the coronary care unit (CCU). Patients and Methods: This study was a clinical trial that was performed on 38 patients with myocardial infarction at the CCU of Shahid Beheshti hospital of Babol. Samples were selected using purposive sampling and were randomly allocated into experimental and control groups. Patients in the experimental group, within 12 -18 hours after admission to the CCU, were mobilized with a specified program while in the control group, patients got out of bed on the basis of routine care within 48 hours after admission. Heart rate and blood pressure was measured every six hours during the first and third day of admission and were compared between the two groups. Results: In the experimental group, mean heart rate during the first day was 82.16 ± 13.83 and on the third day was 75.37 ± 9.73. In the control group, mean heart rate during the first day was 70.67 ± 13.76 and on the third day was 73.84 ± 12.69. The difference between the mean heart rates of the first and third day was 6.79 ± 11.2 for the experimental group and -3.16 ± 7.3 for the control group. The findings showed that there was a significant difference between differences of mean heart rate during the first and third days in the two groups (P = 0.003). Analysis showed that there was no significant difference between changes of mean systolic blood pressure (P = 0.1) and diastolic blood pressure (P = 0.11) on the first and third day, in the two groups. Conclusions: This study showed that the early mobilization program could reduce heart rate. Therefore, based on the results of this study, use of the early mobilization program in the treatment and care program of patients with myocardial infarction is suggested.

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Myocardial oxygen consumption in the bed bath and shower bath in patients with acute coronary syndrome

Santos

Anjos

Paixão

et al. 2020

Intensive and Critical Care Nursing

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Mobilization and early hospital discharge for patients with acute myocardial infarction: literature review

Cited by 5 publications

References 25 publications

Mobilization of Patients Suffering from Acute Myocardial Infarction – When Is It Too Early?

Mobilization of Patients Suffering from Acute Myocardial Infarction – When Is It Too Early?

Effects of Early Mobilization Program on the Heart Rate and Blood Pressure of Patients With Myocardial Infarction Hospitalized at the Coronary Care Unit

Myocardial oxygen consumption in the bed bath and shower bath in patients with acute coronary syndrome

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