Early Ambulation in the Treatment of Myocardial Infarction

Brummer, Pekka; Kallio, Veikko; Tala, E

doi:10.1111/j.0954-6820.1966.tb02829.x

Cited by 17 publications

(3 citation statements)

References 3 publications

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“…In 1929, four to six weeks of bedrest was recommended for the management of acute coronary thrombosis ( S1 Table ) [ 20 ]. In the 1960s, Brummer et al reported that mobilizing people post-MI at day 12 compared to day 16 was safe [ 21 ]. Irwin et al postulated that routine prolonged bedrest post-MI may be unnecessary and potentially harmful to patients’ mental and physical well-being [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies from the pre-coronary revascularization era showed the safety, feasibility and benefits of earlier mobilization post-MI. These studies found that earlier post-MI mobilization resulted in reduced length of hospital stay without an increase in in-hospital complications or short-term post-discharge complications [ 21 , 46 , 47 ]. However, these studies were performed when intensive care and hospital length of stay was considerably longer than in contemporary care.…”

Section: Discussionmentioning

confidence: 99%

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Early mobilization post-myocardial infarction: A scoping review

2020

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Bedrest and immobilization following a myocardial infarction (MI) can lead to functional impairment that can persist following hospitalization. Early mobilization (EM) is associated with good functional and clinical outcomes in critical care, medical and surgical settings. However, the impact and current role of EM in post-MI care has not been well-defined. Our objective was to assess the evidence for post-MI mobilization, define current post-MI mobilization practice, and understand perspectives of cardiovascular professionals toward mobilization. A scoping review related to “early mobilization” and “myocardial infarction” was performed using the Joanna Briggs Institute Methodology. Pubmed, Embase, Google Scholar, Cochrane Library and CINAHL databases were included. Results were categorized into six topic areas. There were 59 references included in the analysis. There was evidence for the effectiveness and safety of earlier mobilization in experimental studies of the pre-revascularization era, but there was a lack of strong evidence for EM in contemporary post-MI care. Mobilization appears to be safe following arterial catheterization and is associated with minimal hemodynamic and respiratory compromise. Most people are delayed in mobilizing post-MI and spend the majority of the initial hospitalization period lying in bed. Only 1 of 7 current major cardiovascular professional societies guidelines recommend EM post-MI. There were no studies exploring the perspectives of cardiovascular professionals toward mobilization. EM may be beneficial in the post-MI care. However, there is an evidence gap for the impact of EM post-MI in the contemporary literature. More robust evidence from randomized clinical trials is required to inform clinicians and influence practice.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early mobilization post-myocardial infarction: A scoping review

2020

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“…Εφαρμογή ενδονοσοκομειακών προγραμμάτων άσκησης: με τις εργασίες των Levine & Lown (1952) δόθηκε η ώθηση για την καθιέρωση των προγραμμάτων άσκησης καρδιοπαθών εντός του νοσοκομείου αλλά και γενικότερα, με αποτέλεσμα στη δεκαετία μεταξύ 1954-1964 να μειωθεί αισθητά ο χρόνος της πλήρους ακινητοποίησης των ασθενών (10 από 16 ημέρες) [Brummer et al 1966]. Τα αποτελέσματα αρκετών μεταγενέστερων εργασιών συνηγόρησαν στην επιπλέον μείωση του χρόνου παραμονής και νοσηλείας των εμφραγματιών ασθενών (Groden et al 1967, Harpur et al 1971, Hutter et al 1973, Hayes et al 1974, Ahlmark et al 1979 Τα προγράμματα πρώιμης κινητοποίησης εκτός από το ότι επιταχύνουν την έξοδο από το νοσοκομείο μπορεί να συντομεύσουν το χρόνο επιστροφής στην εργασία και στις προηγούμενες δραστηριότητες του ελεύθερου χρόνου (Cain et al 1961, Boyle et al 1972, Hutter et al 1973, Bloch et al 1974, Rowe et al 1989.…”

Section: ανασκοπηση βιβλιογραφιας (unclassified

Η Επίδραση Της Συστηματικής Άσκησης Σε Ασθενείς Με Στεφανιαία Νόσο

Volaklis¹,

Βολακλής²

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The above results indicate that a combined training program of strength and aerobic exercise of eight months induces positive hemodynamic, cardiorespiratory and muscular adaptations in patients with CAD. Many of these adaptations occurs within a period of four months and further improvement can appear if the systematic program continous up to eight months. However, the cessation of training may reverse to a large extent the obtained positive adaptations within a period of three months. Therefore, patients with coronary artery disease should follow a systematic exercise program throughout life in order to ammiliorate their health status and improve well being and quality of life.

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Early Mobilization After Myocardial Infarction: Historical Perspective and Critical Appraisal

Wenger

1980

Selected Topics in Exercise Cardiology and Rehabilitation

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Early Ambulation in the Treatment of Myocardial Infarction

Cited by 17 publications

References 3 publications

Early mobilization post-myocardial infarction: A scoping review

Early mobilization post-myocardial infarction: A scoping review

Η Επίδραση Της Συστηματικής Άσκησης Σε Ασθενείς Με Στεφανιαία Νόσο

Early Mobilization After Myocardial Infarction: Historical Perspective and Critical Appraisal

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