Refinements in method of evaluation and physical conditioning before and after myocardial infarction

Autor: Bruno Balke, F. J. Nagle, John Naughton
Rok vydání: 1964
Předmět:
Zdroj: The American Journal of Cardiology. 14:837-843
ISSN: 0002-9149
DOI: 10.1016/0002-9149(64)90011-6
Popis: A 54 year old white man with hypertension, obesity and an elevated serum cholesterol level volunteered for a physical training program. During the sixth week he became ill, and a repeated work-capacity test revealed physiologic evidences of myocardial insufficiency. The pre-exercise serum glutamic oxaloacetic transaminase level was elevated. A routine electrocardiogram four hours later revealed evidence of an acute inferoseptal myocardial infarction. The course of the disease was uneventful and uncomplicated. Two months after infarction the patient resumed a physical activity program which provided for a slow increase in metabolic demands compatible with his capacity. Repeated work-capacity tests 20 and 23 weeks after infarction showed that he responded to training in exactly the same manner as has been observed in normal, healthy individuals. At that time he was normotensive, with a normal serum cholesterol concentration and near-normal body weight. The capacity for adequate cardiorespiratory adjustments to high metabolic demands was rated as “good.” This study illustrates how performance tests can be used in evaluating the work capacity and progress of a cardiac patient.
Databáze: OpenAIRE