Planning of Comprehensive Rehabilitation on the Basis of Exercise Testing After Myocardial Infarction
The range of physical working capacity (PWC) after myocardial infarction is wide (Fig.1) (9), and therefore, exercise testing is essential for realistic rehabilitation plans. Physical training has been one promising method of improving PWC when there is a gap between physical fitness and the demands of the work. In two controlled Finnish studies, however, intervention with physical training alone did not induce any significant improvement in return to work, or in mortality. In our feasibility study with consecutive postinfarction men (Fig.l) (9) the effect of one year’s physical activity programme was not very protracted (Fig. 2). Mortality was similar and return to work tended to be better in the reference group (Fig. 3) when the basic treatment, including exercise tests and follow-up examinations, was the same in both groups. So, psychosocial and local factors seems to be much more important in return to work than physical fitness. In similar Finnish study on physical training, results regarding return to work and mortality were the same, although there was a slight trend towards lower mortality in the training group (17).
KeywordsSudden Death Physical Training Multivessel Disease Coronary Artery Spasm Physical Working Capacity
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