Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: a new model for patient care

Am J Cardiol. 1985 Feb 1;55(4):251-7. doi: 10.1016/0002-9149(85)90355-8.


Medically directed at-home rehabilitation was compared with group rehabilitation which began 3 weeks after clinically uncomplicated acute myocardial infarction (AMI) in 127 men, mean age 53 +/- 7 years. Between 3 and 26 weeks after AMI, adherence to individually prescribed exercise was equally high (at least 71%), the increase in functional capacity equally large (1.8 +/- 1.0 METs) and nonfatal reinfarction and dropout rates equally low (both 3% or less) in the 66 men randomized to home training and the 61 men randomized to group training. No training-related complications occurred in either group. The low rate of reinfarction and death (5% and 1%, respectively) in the study as a whole, which included 34 patients with no training and 37 control patients, reflected a stepwise process of clinical evaluation, exercise testing at 3 weeks and frequent telephone surveillance of patients who underwent exercise training. Medically directed at-home rehabilitation has the potential to increase the availability and to decrease the cost of rehabilitating low-risk survivors of AMI.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Arrhythmias, Cardiac / etiology
  • Coronary Disease / etiology
  • Exercise Therapy* / adverse effects
  • Exercise Therapy* / economics
  • Exercise Therapy* / methods
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / economics
  • Myocardial Infarction / rehabilitation*
  • Myocardial Infarction / therapy
  • Patient Compliance
  • Physical Exertion
  • Prescriptions
  • Random Allocation
  • Self Care* / methods