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The safety of static-dynamic effort soon after myocardial infarction
Authors:N A Wilke  L M Sheldahl  F E Tristani  C V Hughes  J H Kalbfleisch
Affiliation:1. Cardiopulmonary Rehabilitation Center, Veterans Administration Medical Center Milwaukee, Wisc., USA;2. the Department of Physiology, The Medical College of Wisconsin Milwaukee, Wisc., USA.;3. Department of Medicine, The Medical College of Wisconsin Milwaukee, Wisc., USA.;4. Department of Anesthesiology, The Medical College of Wisconsin Milwaukee, Wisc., USA.;1. Department of Physical Education, Federal University of Viçosa, Campus Viçosa, Viçosa, Minas Gerais State, Brazil;2. Department of Nursing and Physical Therapy, University of Leon, Campus Ponferrada, Ponferrada, Leon, Spain;3. Institute of Biological Sciences and Health, Federal University of Viçosa, Campus Florestal, Florestal, Minas Gerais State, Brazil
Abstract:
Many activities of daily living require static-dynamic effort. To evaluate the safety of such effort 3 weeks after myocardial infarction, 27 male patients underwent a weight-carrying test requiring 5 minutes of treadmill ambulation with graded weight loads of 10 to 30 pounds. The hemodynamic responses with weight carrying were compared to that of a predischarge graded dynamic exercise test. The peak heart rate was significantly lower (p less than 0.01) with weight carrying, the peak systolic blood pressure did not differ, and the diastolic pressure was significantly higher (P less than 0.01). ST segment depression and angina pectoris occurred less frequently with weight carrying. The type and frequency of ventricular arrhythmias were similar between the two tests. We conclude that many men are capable of performing static-dynamic activity equivalent to carrying up to 30 pounds by 3 weeks after myocardial infarction.
Keywords:
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