The results of the rehabilitative treatment of myocardial infarct patients activated at the hospital stage according to an accelerated program

The authors provide data obtained during long-term follow up of patients with myocardial infarction, activated at the hospital stage according to the accelerated program (50 persons) and within the generally accepted period (50 persons). Account was taken of the clinical course of the disease exercise tolerance, its hemodynamic and oxygen supply in the acute period and throughout the whole observation time. It has been shown that referral of patients to the sanatorium stage of rehabilitation should be determined by functional preparedness of the patient rather than by the time of myocardial infarction. It is desirable that the program of accelerated activation may be implemented in patients with uncomplicated macrofocal and restricted transmural myocardial infarction in the absence of marked painful syndrome while the threshold power should not be less than 50 watt during bicycle ergometry performed 2 weeks after the disease onset.