[Various aspects of rehabilitation of patients with myocardial infarct at the hospital stage].
The paper presents the results of accelerated physical rehabilitation in 1449 patients with large-focal myocardial infarction. Gradual expansion of movement regimen was based on a programme comprising 7 hospital stages for three clinical groups of patients; those with mild (I), medium (II) and severe (III) course of the disease. Rehabilitation procedures were to take up 35-40 days in Group I, 40-45 days in Group II, and 50 and more days in Group III. The control group was composed of 220 patients on conventional treatment with prolonged bed rest. Accelerated rehabilitation was successful in 78.2% of the patients from Group I and II. The study-group patients showed reduced incidence of recurrent acute coronary insufficiency, relapses of myocardial infarction, thromboembolism, late cardiorrhexis, as compared to the controls. The duration of hospital stay was reduced by 23.1 days. Mortality (after 3-5 days of acute condition) dropped from 8.9% to 5.2%. Exercise tolerance was three times as great, as compared to that of the controls.