急性心筋硬塞のリハビリテーションに関する研究

―任意平地歩行および階段昇降負荷と入浴についての検討―

抄録

Using radioelectrocardiography and determing oxygen consumption and blood pressure, the effects of the first and repeated training with walking on level, walking up- and downstairs and bathing in lukewarm fresh water on the cardiac function of the patients with. acute myocardial inf action were investigated on the course of rehabilitation.
It was found that velocity of walking on level well correlated with relative metabolic rate (RMR), and, that in the cases of both walking exercises a decrease in heart rate and in modified tension time index (mTTI) and an increase in oxygen pulse were observed after courses of training comparing to those after first course. Similer decrease in heart rate, oxygen debt, mTTI and abnormal findings on ECG and increase in oxygen pulse were also. observed after courses of training with bathing in lukewarm fresh water. These changes. after training were thought to indicate the improvement of the cardiac function.
Since the cardiac function tests often revealed abnormality after bathing in severe cases in spite of very low RMR required for bathing, one should be very careful in selecting method of bathing in them and determining the time of allowance of bathing in them. On the contrary, earlier allowance of bathing was thought to be possible in the mild cases.