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      Rehabilitation of the Patient after Myocardial Infarction: The Pivotal Role of the Primary Care Physician

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          Abstract

          Invalidism is often unnecessarily prolonged after myocardial infarction because of misinformation about the natural history of the illness and because of psychosocial difficulties. To correct these problems, the rehabilitative approach should begin at the onset of illness and remain as a continuing feature in the long-term care of the patient; rehabilitation must thus be the responsibility of the patient’s primary physician, who may be a general physician or a practicing cardiologist. Cardiovascular rehabilitation services should be designed to restore the patient, as rapidly as possible, to a productive, active and satisfying life.For patients with significant residual cardiac damage or particular psychological, social or vocational problems, conventional medical management is often insufficient to ensure return to a full, active and productive life. The clinician should appreciate this problem early in the course of the illness and institute referral for specialized consultant assessment and management. However, all aspects of the long-term care and rehabilitation of the patient after myocardial infarction must remain under the aegis of the primary physician, ultimately using the personnel, facilities and services of the local community.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          978-3-8055-2805-4
          978-3-318-02029-8
          0008-6312
          1421-9751
          1977
          1977
          31 October 2008
          : 62
          : 3
          : 261-268
          Affiliations
          Emory University School of Medicine, Grady Memorial Hospital, Atlanta, Ga.
          Article
          169858 Cardiology 1977;62:261–268
          10.1159/000169858
          890706
          © 1977 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

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          Pages: 8
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