Early Rehabilitation After Myocardial Infarction

Mayou, Richard; Sleight, Peter; MacMahon, D; M, Florêncio

doi:10.1016/s0140-6736(81)92811-7

Cited by 78 publications

(25 citation statements)

References 5 publications

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“…Mayou et al 4 suggested that exercise programmes were of only temporary benefit, but this includes encouragement during the difficult early weeks at home. In our study 84% ofmen expressed approval of an exercise programme and most wanted a counselling service specifically for heart attack patients.…”

Section: Discussionmentioning

confidence: 99%

Employment after Myocardial Infarction Amongst Previously Healthy Men

et al. 1986

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SummaryA postal questionnaire was sent to 55 men 18 months after their first myocardial infarction; information obtained was supplemented by interview with two of the authors (PW and GC). Fifty-three men had been in full-time employment prior to their illness, 38 of them in manual work. Their return to work and changes in employment were examined and, in addition, enquiries were made about subsequent health, assistance from trade unions and the local Disabled Resettlement Officer (DRO). Details of attitude to subsequent physical exercise and sexual activity were also recorded.Eighteen months after myocardial infarction, only 35% of these men were employed and 27% asymptomatic. Patients in heavy manual work were largely unable to return to their previous job and little assistance was obtained from trade unions. Even when patients were made aware of the existence of the DRO, few approached him for advice. A counselling service is needed for patients recovering from an infarct to encourage them to return to an active and profitable life. IntroductionMyocardial infarction is a common cause of hospital admission in the western world and may be associated with considerable morbidity and mortality. In England and Wales, about 9% of men below the age of 65 years will die from myocardial infarction.After discharge from hospital, both hospital doctors and family practitioners are concemed with medical follow up. Interest has largely focused on the development of angina and cardiac failure and little attention has been given to employment and leisure activities.The present study was conducted 18 months after infarction, and the effect on return to work and changes in employment were noted. We also looked at advice and assistance given by trade unions and Disabled Resettlement Officers (DROs) and the part physical exercise and sexual activity played in convalescence.

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Section: Discussionmentioning

confidence: 99%

Employment after Myocardial Infarction Amongst Previously Healthy Men

et al. 1986

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“…A large and unsatis factory literature on cardiac rehabilitation assumes that psychological problems are a universal and stereotyped feature of recov ery from a myocardial infarct and concludes that all patients require organized exercise rehabilitation. Little credence is given to psychological evidence that most patients do well without extra rehabilitation, and that standard common sense interventions are in fact ineffective for those with psychological and social difficulties [10][11][12][13][14][15].…”

Section: Concepts Of Quality Of Lifementioning

confidence: 99%

“…The few studies of rehabilitation that have used appropriate measures and control groups have shown rather little benefit for exercise rehabilitation [10][11][12][13], They have also show'n that the majority of patients re cover very well without any special form of extra care. Our own evaluation of standard care, extra counselling exercise classes and a battery of specific measures found few dif ferences between the three groups [ 10], How ever, patients were more satisfied with exer cise and counselled patients described longer working time and greater frequency of sex eighteen months later.…”

Section: Myocardial Infarctionmentioning

confidence: 99%

Quality of Life in Cardiovascular Disease

Mayou¹

1990

Psychother Psychosom

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Psychosomatic understanding of the consequences of cardiovascular disorders has had relatively little influence on the separate literature describing quality of life and evaluating interventions. This is partly because psychosmatic research has been too narrowly focussed but mainly because concepts and measures of quality of life take a limited view of its psychological aspects and neglect the significance of individual meaning. There is a need for more research which is based on carefully selected specific measures of quality of life chosen as being of particular importance to patients and to the hypotheses being tested. It is also essential to be aware of the wide range of individual response to cardiovascular disorders. Review of syndromes shows that there is considerable scope to improve understanding of the psychological aspects of quality of life and to develop and evaluate psychological interventions.

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“…The early studies mainly adopted a conservative approach and concentrated on programmes that often did not involve patients until tWo or more months post MI. It was not until the late 1970s that the effects and safety of commencing rehabilitation within the first month of recovery were investigated in an attempt to minimise the effects of deconditioning DeBusk et al 1979;Lerman et al 1976;Mayou et al 1981;Sivarajan 1982). From these beginnings studies into the effect of exercise and recovery from a MI have taken various directions.…”

Section: ) To Investigate the Integrated Function Of The The Cardiovmentioning

confidence: 99%

Effects of Rehabilitation in Patients with Cardiac Disease

Taylor¹

1996

Physiotherapy

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Early Rehabilitation After Myocardial Infarction

Cited by 78 publications

References 5 publications

Employment after Myocardial Infarction Amongst Previously Healthy Men

Employment after Myocardial Infarction Amongst Previously Healthy Men

Quality of Life in Cardiovascular Disease

Effects of Rehabilitation in Patients with Cardiac Disease

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