THE MANAGEMENT OF MYOCARDIAL INFARCTION WITH PARTICULAR REFERENCE TO THE CHAIR TREATMENT
Authors: J R BECKWITH, D T KERNODLE, A E LEHEW, J E WOOD
Journal: Annals of Internal Medicine (1954)

Article1 December 1954THE MANAGEMENT OF MYOCARDIAL INFARCTION WITH PARTICULAR REFERENCE TO THE CHAIR TREATMENTJULIAN R. BECKWITH, M.D., F.A.C.P., DWIGHT T. KERNODLE, M.D., ALLEN E. LEHEW, M.D., J. EDWIN WOOD JR., M.D., F.A.C.P.JULIAN R. BECKWITH, M.D., F.A.C.P.Search for more papers by this author, DWIGHT T. KERNODLE, M.D.Search for more papers by this author, ALLEN E. LEHEW, M.D.Search for more papers by this author, J. EDWIN WOOD JR., M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-6-1189 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe time-honored treatment of acute myocardial infarction at complete bed-rest has been challenged recently and evidence presented that many patients do at least as well if allowed to sit in a chair during their convalescence as they would if confined strictly to bed.1, 2, 3It has been previously pointed out that there are many disadvantages to complete bed-rest,4, 5and a recent review emphasizes how its abuse unfavorably6affects the cardiac patient. There is also evidence which indicates that the cardiac work is greater when an individual is lying in bed than when he is sitting in a chair.7...Bibliography1. Levine SA: The myth of strict bed rest in the treatment of heart disease, Am. Heart J. 42: 406, 1951. CrossrefMedlineGoogle Scholar2. LevineLowen SAB: "Armchair" treatment of acute coronary thrombosis, J. A. M. A. 148: 1365, 1952. CrossrefMedlineGoogle Scholar3. WilsonWard JLJH: Acute myocardial infarction treated by the chair rest regimen, J. A. M. A. 155: 226, 1954. CrossrefGoogle Scholar4. Dock W: Evil sequelae of complete bed rest, J. A. M. A. 125: 1083, 1944. CrossrefGoogle Scholar5. DeitrickWhedonShorr JEGDE: Effects of immobilization upon various metabolic and physiological functions of normal men, Am. J. Med. 4: 3, 1948. CrossrefMedlineGoogle Scholar6. WyattBeckwithWood NFJRJE: The abuse of bed rest in the therapy of cardiac patients, Virginia M. Monthly 80: 419, 1953. MedlineGoogle Scholar7. Coe WS: Cardiac work and the chair treatment of acute coronary thrombosis, Ann. Int. Med. 40: 42, 1954. LinkGoogle Scholar8. RussekZohmanDoernerRussekWhite HIBLAAASLG: Indications for bishydroxycoumarin (Dicumarol) in acute myocardial infarction, Circulation 5: 707, 1952. CrossrefMedlineGoogle Scholar9. LarydeTakats BGG: Peripheral arterial embolism after myocardial infarction, J. A. M. A. 155: 10, 1954. CrossrefMedlineGoogle Scholar10. SteadWarrenMerrillBrannon EAJVAJES: Cardiac output in male subjects as measured by technique of right atrial catheterization: normal values with observations on effect of anxiety and tilting, J. Clin. Investigation 24: 326, 1945. CrossrefMedlineGoogle Scholar11. SchlicterHellersteinKatz JHKLN: Aneurysm of the heart, Medicine 33: 43, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 26, 1954.From the Department of Internal Medicine, Cardiovascular Division, School of Medicine, University of Virginia, Charlottesville, Virginia, and the Department of Internal Medicine, Chesapeake and Ohio Hospital, Clifton Forge, Virginia.Supported in part by a grant from the Virginia Heart Association. 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BURNS, M.D. 1 December 1954Volume 41, Issue 6Page: 1189-1195KeywordsAcute myocardial infarctionCardiology and cardiovascular diseasesConvalescenceDeceptionHeartHospital medicineMyocardial infarction ePublished: 1 December 2008 Issue Published: 1 December 1954 PDF downloadLoading ...