| Cardiac precautions for non-acute inpatient settings. | |
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MedLine Citation:
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PMID: 8512675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Activity progression of persons with physical disabilities and accompanying cardiovascular disease in medical rehabilitation centers is traditionally based on cardiac precautions derived from acute care settings. Concern that these guidelines were too conservative and restrictive led to exercise testing and evaluation of 64 physically disabled male patients with a history of coronary artery disease. The sample had a mean age of 62.4 years. The exercise test was an adaptation of the Schwade Arm Ergometer Protocol with blood pressure measured at baseline, immediately after each 2 minutes of exercise, peak exercise and each minute for 6 minutes after peak exercise. Heart rate was monitored continuously. Patients achieved a mean peak heart rate of 115 beats per minute, mean peak systolic pressure of 169 mm Hg and mean peak diastolic pressure of 89 mm Hg. Ischemic electrocardiographic changes occurred in four of the 64 patients. Based on the achieved ranges of values of heart rate, systolic and diastolic pressures and comparison of these results with baseline (pre-exercise) values, more liberal guidelines for prescribing activity in the non-acute inpatient setting are provided. |
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Authors:
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B J Fletcher; S Dunbar; J Coleman; B Jann; G F Fletcher |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists Volume: 72 ISSN: 0894-9115 ISO Abbreviation: Am J Phys Med Rehabil Publication Date: 1993 Jun |
Date Detail:
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Created Date: 1993-07-22 Completed Date: 1993-07-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8803677 Medline TA: Am J Phys Med Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 140-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Coronary Disease / physiopathology*, rehabilitation Disabled Persons* Echocardiography Exercise Test* Hemodynamics Humans Male Middle Aged Rehabilitation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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