The most effective treatment measure for having a myocardial infarction is undoubtedly the timely opening of blocked blood vessels (e.g. thrombolysis, stent implantation treatment). Opening the blood vessels does not mean that the danger of myocardial infarction patients is relieved. Many patients have problems with their heart again not long after discharge from the hospital, such as the reoccurrence of narrowing of the blood vessels in the heart or serious complications such as heart failure. The root cause of why heart disease worsens after stenting is that the subsequent rehabilitation of myocardial infarction is crippling. This cannot be blamed on a particular doctor, but mainly because cardiac rehabilitation has not yet been fully implemented in China, and there is a general lack of awareness of it. In the international arena, rehabilitation of all cardiovascular diseases, especially in Europe and the United States and Japan, has been fully implemented, and cardiac rehabilitation for patients with acute myocardial infarction and coronary artery disease, post-coronary artery bypass surgery, post-valve and large vessel replacement, post-coronary artery and peripheral vascular stent implantation has been included in the insurance coverage, and aerobic exercise rehabilitation for heart failure is currently being carried out internationally, but China in the field of cardiac rehabilitation However, China is still very much behind in the field of cardiac rehabilitation. What is myocardial infarction rehabilitation The concept of cardiac rehabilitation is not only exercise, but also includes five aspects: lifestyle changes (including smoking cessation and alcohol restriction, diet and nutrition, weight management, sleep management and exercise guidance); dual heart services (mainly psychological guidance); the use of sign-based drugs and individualized adjustment of drug doses; quality of life assessment and vocational rehabilitation, but the core content is exercise rehabilitation. How to exercise for myocardial infarction patients There are already several large hospitals in China that have started exercise rehabilitation for myocardial infarction. Indeed exercise for myocardial infarction patients needs to be treated with caution. All patients with myocardial infarction should have a cardiopulmonary exercise test (cardiopulmonary exercise) before discharge from the hospital.
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The cardiopulmonary exercise test (CPET) is a precise instrument that monitors the patient’s cardiopulmonary reserve function, gas metabolic parameters, ventilation parameters, and hemodynamics during exercise to determine the patient’s maximum safe exercise load after the disease. The anaerobic metabolic threshold (AT) is the core index detected, which is widely used in the functional evaluation before and after treatment of heart failure and coronary heart disease, pulmonary disease, etc., and is the basis for the development of exercise prescriptions for patients. It is safe to exercise effectively through an exercise prescription developed by a professional physician. How do you need to exercise after myocardial infarction In the early stage, exercise is mainly based on low-level aerobic exercise such as: Time: 20-30 minutes Frequency: 3-5 times a week Intensity: moderate intensity up to the target heart rate Types: walking, cycling, jogging, tai chi, etc. Later, you can add impedance exercises such as elastic bands, application of medical devices, etc. Only comprehensive cardiac rehabilitation can minimize the mortality and death rate of patients with myocardial infarction and improve the quality of survival of patients with myocardial infarction with disease.