Complete mental and physical rest is the accepted primary aim in the treatment of acute myocardial infarction, particularly during the initial stages of the condition. Controversy has arisen during recent years, however, regarding the mode of management for these patients that would be most effective in achieving this goal. Customarily in the past, immediate restriction to bed followed by prolonged periods of strict bed rest has been the therapy of choice, since the concept handed down through the years has been that bed rest if absolutely enforced would afford the most complete rest to the myocardium.1 These ideas have in recent years been contested and are now refuted by some observers.2
Many outstanding authorities on the treatment of heart disease are becoming increasingly aware of the several disadvantages and harmful effects observed when patients are kept recumbent or rigidly restricted to bed for long periods during the treatment
Wilson JL, Ward JH. ACUTE MYOCARDIAL INFARCTION TREATED BY THE CHAIR REST REGIMENTHIRTY CONSECUTIVE CASES MANAGED BY THE LEVINE ARMCHAIR METHOD. JAMA. 1954;155(3):226–230. doi:10.1001/jama.1954.03690210004002
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