Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1973 Jan 6;1(5844):10–13. doi: 10.1136/bmj.1.5844.10

Results of Early Mobilization and Discharge after Myocardial Infarction

Helen H Tucker, P H M Carson, N M Bass, G P Sharratt, J P P Stock
PMCID: PMC1588527  PMID: 4345902

Abstract

A total of 342 patients with acute myocardial infarction who were admitted to a coronary care unit are reviewed to assess the results of early mobilization and discharge. The mean duration of admission was 8·4 days and 89% of the survivors were discharged from hospital by the tenth day. The inpatient mortality was 15·5%. An additional 6·7% died during the six weeks' follow-up period, giving a total mortality of 22·2%. Altogether, 7·6% of patients were readmitted. Venous thromboembolic phenomena occurred in 3·5% during the inpatient period. Of patients who were eligible 62% were back at work five months after their myocardial infarction. We think the results justify a short hospital admission period for acute myocardial infarction.

Full text

PDF
12

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boyle D. M., Barber J. M., Walsh M. J., Shivalingappa G., Chaturvedi N. C. Early mobilisation and discharge of patients with acute myocardial infarction. Lancet. 1972 Jul 8;2(7767):57–60. doi: 10.1016/s0140-6736(72)91550-4. [DOI] [PubMed] [Google Scholar]
  2. Chapman B. L. Correlation of mortality rate and serum enzymes in myocardial infarction. Test of efficiency of coronary care. Br Heart J. 1971 Sep;33(5):643–646. doi: 10.1136/hrt.33.5.643. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gilchrist I. C. Factors affecting admission to a coronary care unit. Br Med J. 1971 Oct 16;4(5780):153–156. doi: 10.1136/bmj.4.5780.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Lassers B. W., Julian D. G. Artificial pacing in management of complete heart block complicating acute myocaerdial infarction. Br Med J. 1968 Apr 20;2(5598):142–146. doi: 10.1136/bmj.2.5598.142. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lown B., Fakhro A. M., Hood W. B., Jr, Thorn G. W. The coronary care unit. New perspectives and directions. JAMA. 1967 Jan 16;199(3):188–198. [PubMed] [Google Scholar]
  6. Lown B. The philosophy of coronary care. Arch Klin Med. 1969 Oct;216(3):201–241. [PubMed] [Google Scholar]
  7. Lown B., Vasaux C., Hood W. B., Jr, Fakhro A. M., Kaplinsky E., Roberge G. Unresolved problems in coronary care. Am J Cardiol. 1967 Oct;20(4):494–508. doi: 10.1016/0002-9149(67)90027-6. [DOI] [PubMed] [Google Scholar]
  8. Marriott H. L. Constant monitoring for cardiac dysrythmias and blocks. Mod Concepts Cardiovasc Dis. 1970 Jun;39(6):103–108. [PubMed] [Google Scholar]
  9. Maurer B. J., Wray R., Shillingford J. P. Frequency of venous thrombosis after myocardial infarction. Lancet. 1971 Dec 25;2(7739):1385–1387. doi: 10.1016/s0140-6736(71)90666-0. [DOI] [PubMed] [Google Scholar]
  10. Meurs A. A., Vos A. K., Verhey J. B., Gerbrandy J. Electrocardiogram during cardiac ruture by myocardial infarction. Br Heart J. 1970 Mar;32(2):232–235. doi: 10.1136/hrt.32.2.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Murray T. S., Lorimer A. R., Cox F. C., Lawrie T. D. Leg-vein thrombosis following myocardial infarction. Lancet. 1970 Oct 17;2(7677):792–793. doi: 10.1016/s0140-6736(70)91459-5. [DOI] [PubMed] [Google Scholar]
  12. Nagle R., Gangola R., Picton-Robinson I. Factors influencing return to work after myocardial infarction. Lancet. 1971 Aug 28;2(7722):454–456. doi: 10.1016/s0140-6736(71)92627-4. [DOI] [PubMed] [Google Scholar]
  13. Norris R. M., Brandt P. W., Caughey D. E., Lee A. J., Scott P. J. A new coronary prognostic index. Lancet. 1969 Feb 8;1(7589):274–278. doi: 10.1016/s0140-6736(69)91035-6. [DOI] [PubMed] [Google Scholar]
  14. Pentecost B. L., Mayne N. M. Results of a general hospital coronary care service. Br Med J. 1968 Mar 30;1(5595):830–833. doi: 10.1136/bmj.1.5595.830. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Royston G. R. Short stay hospital treatment and rapid rehabilitation of cases of myocardial infarction in a district hospital. Br Heart J. 1972 May;34(5):526–532. doi: 10.1136/hrt.34.5.526. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. SCHLICHTER J., HELLERSTEIN H. K., KATZ L. N. Aneurysm of the heart: a correlative study of one hundred and two proved cases. Medicine (Baltimore) 1954 Feb;33(1):43–86. [PubMed] [Google Scholar]
  17. SPIEKERMAN R. E., BRANDENBURG J. T., ACHOR R. W., EDWARDS J. E. The spectrum of coronary heart disease in a community of 30,000. A clinicopathologic study. Circulation. 1962 Jan;25:57–65. doi: 10.1161/01.cir.25.1.57. [DOI] [PubMed] [Google Scholar]
  18. Scott M. E., Geddes J. S., Patterson G. C., Adgey A. A., Pantridge J. F. Management of complete heart block complicating acute myocardial infarction. Lancet. 1967 Dec 30;2(7531):1382–1385. doi: 10.1016/s0140-6736(67)93021-8. [DOI] [PubMed] [Google Scholar]
  19. Smyllie H. C., Taylor M. P., Cuninghame-Green R. A. Acute myocardial infarction in Doncaster. I. Estimating size of coronary care unit. Br Med J. 1972 Jan 1;1(5791):31–34. doi: 10.1136/bmj.1.5791.31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Thompson P., Sloman G. Sudden death in hospital after discharge from coronary care unit. Br Med J. 1971 Oct 16;4(5780):136–139. doi: 10.1136/bmj.4.5780.136. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES