HERZRHYTHMUSSTORUNGEN WAHREND DER FRUHMOBILISATION VON HERZINFARKTKRANKEN

The behaviour pattern of the cardiac rhythm was checked with the help of ECG telemetry during a standardized, graded (i.e. 12 point) course of treatment in early mobilisation using a non selected sample of over a hundred patients with a confirmed acute myocardial infarction. In the case of 97 out of 106 patients, in whom the full results could be registered, irregularities in the cardiac rhythm were observed and in 27% of the same severe dysrhythmias were evident. Only 4 patients themselves complained of difficulties. As the degree of mobilisation advanced a more stable rhythm was observed at rest. But as a result of physiotherapy with increasing exertion irregularities were provoked in the case of 40 to 45% of the patients during the whole mobilisation programme. Patients who had severe infarctions, using the prognostic index by Norris et al., showed more frequent and more severe rhythmic irregularities than patients with a minor infarction. It was not possible to make a prognosis from the frequency or kind of disturbance evident at the beginning of the mobilisation about the heart beat pattern which would develop in the later phase of the same.