Document Detail


Recurrence of myocardial infarction in an exercising population.
MedLine Citation:
PMID:  486274     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Ontario Multi-Centre Exercise-Heart trial is making a prospective study of 751 male subjects following well-documented episodes of myocardial infarction. Comparison is here made between the 50 participants who sustained a recurrence of their myocardial infarction, and the 701 participants who did not. Reinfarction was a little more likely with a history of multiple previous infarctions, but was unrelated to such indicators of infarct severity as symptoms, electrocardiographic abnormalities, enzyme changes, cardiac arrest, arrhythmia, or minimum systolic blood pressure. Features noted on admission to the trial, which may have an adverse effect, include smoking history and related symptoms, residual disability, shortness of breath, and angina of effort. The main physiological warning sign was a low and decreasing cardiac output at a submaximal work load, with a compensatory widening of arteriovenous oxygen difference. With the possible exception of exercise non-compliance, none of the adverse findings is sufficiently consistent to be of value when advising individual patients.
Authors:
R J Shephard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  42     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1979-12-18     Completed Date:  1979-12-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  AIM; IM; S    
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MeSH Terms
Descriptor/Qualifier:
Heart / physiopathology
Humans
Lung Volume Measurements
Male
Middle Aged
Myocardial Infarction / physiopathology,  rehabilitation*
Physical Exertion*
Prospective Studies
Recurrence
Respiration
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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