1995 Volume 22 Issue 8 Pages 460-463
This study investigated factors that limit to participate and complete phase Ⅱ cardiac program. One-hundred and five patients (77 men and 28 women) with acute myocardial infarction who had completed cardiac inpatient program were enrolled in this study. Sventy-one (68%) out of the 105 patients participated in phase Ⅱ cardiac program. The patients aged under 64 years had higher rate to participation of phase Ⅱ program than aged over 65 years. Lack of motivation, one of the reasons for non-participation, was frequent in patients aged 65 years or over. Sixty (85%) out of the 71 patients accomplished the phase Ⅱ cardiac exercise program. Thirty-one problems requiring to quit exercise, or a change of medications occurred during exercise in 28 patients. Twenty of these problems originated in the cardiovascular events (arrhymias, increased heart rate, ST depression, fall in blood pressure during exercise, chest pain, heart failure, and reinfarction), and seven were orthopedic problems (arthralgia and myalgia). Both the proportions of incidence of cardiovascular problems and orthopedic problems were higher in female patients. These results suggest that phase Ⅱ cardiac program should proceed taking into consideration patients' age and sexual differences as well as evaluation in cardiac function.
