Biomedical subjects

W F Mead

Publications and source records attributed to W F Mead.

6 recordsLinked to original sources

PubMed1979

Maximal exercise testing--Bruce protocol.

Maximal treadmill exercise testing is feasible for the family physician's office especially in a group setting. The Bruce Exercise Test is described in detail and is helpful in the diagnosis of asymptomatic coronary heart disease, following the course of coronary heart disease, diagnosis of other cardiac disease, and in preventive testing and exercise prescription. Sensitivity and specificity of ST changes may be improved by recognizing factors which cause false positive and negative ST responses. The Bruce Test is safe when the procedure is followed meticulously. There have been 2,490 tests performed in the laboratory of three family physicians without serious morbidity. The screening exercise test with preventive exercise prescription is particularly pertinent to the present day concepts of family practice.

Adult↗

PubMed1978

The aging heart.

The heart of an elderly person functions well in ordinary circumstances but has lost much of its physiologic reserve. The effects of aging myocardium are difficult to spearate from those of coronary atherosclerosis. In addition to ischemic heart disease, a high index of suspicion must be maintained for the sick sinus syndrome, valvular heart disease, cardiomyopathies, congenital lesions, corpulmonale and thyroid disease. Management requires the judicious use of drugs and the prescription of appropriate physical activity.

Aged↗

PubMed1977

Exercise rehabilitation after myocardial infarction.

Exercise is beneficial to most patients with coronary heart disease. Ideally, training should be monitored but, when this is not possible, training pulse rates should be kept below 70 to 85 percent of the maximum heart rate and the patient should understand the concepts and complications of exercise training.

Adult↗

PubMed1976

Successful resuscitation of two near simultaneous cases of cardiac arrest with a review of fifteen cases occurring during supervised exercise.

Two men with coronary heart disease experienced cardiac arrests during a recent exercise rehabilitation session. Fifteen cases of ventricular fibrillation have occurred in this program since 1968, making an average of one per six-thousand man hours of supervised exercise training. All were successfully resuscitated with no sequelae. Analysis of the patients who experience ventricular fibrillation suggests that treating patients with exercise-induced premature ventricular contractions with anti-arrhythmic drugs, proper attention to serum potassium levels, strict adherence to training pulse rates, and proper warm-up might help to prevent future similar events in an exercise program. Due to the unpredictability of ventricular fibrillation it seems preferable that individuals who have known coronary heart disease participate in exercise training under proper supervision with appropriate emergency equipment available.

Adult↗

PubMed1976

Quality assurance for health supervision of the ambulatory child.

The Joint Committee on Quality Assurance (JCQA) was established in 1970 by the American Academy of Pediatrics and includes members from eight organizations concerned with primary care for children. The Committee developed criteria for assessing (1) health supervision of children, and (2) the management of three common diseases of children: tonsillopharyngitis, urinary tract infection, and bronchial asthma. These criteria were then validated by 452 academic and practitioner experts. A representative sample of primary care physicians further evaluated these criteria. The last phase of the study consisted of an audit of charts in the offices of pediatricians, family physicians, and general practitioners to determine the applicability of these criteria to medical records. Good agreement on health supervision criteria was found between academic and practitioner experts. Recording practices of pediatricians and other physicians were quite similar in the representative sample, although pediatricians recorded more complete health supervision information than did family physicians and general practitioners in the office audit. Present chart systems and recording practices do not allow meaningful peer review by chart audits in most office settings.

Adolescent↗

PubMed1976

Exercise rehabilitation in coronary heart disease: community group programs.

This paper outlines a suggested protocol for community exercise programs for the rehabilitation of patients with coronary heart disease. Information presented is based on more than seven years of experience gained by the Cardio-Pulmonary Research Institute through programs in Seattle, Mercer Island, and Yakima, WA, and in Portland, OR. Participants, referred by their personal physicians, meet three times weekly for individually prescribed group walking-jogging-calisthenic sessions lasting 45 minutes each. More than 900 individuals have participated in the program, which has been shown to be feasible, economical and safe.

Community Health Services↗