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November 19, 1973

Anticoagulants in Infarction

JAMA. 1973;226(8):1010. doi:10.1001/jama.1973.03230080146033

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To the Editor.—  The article, "Anticoagulants in Acute Myocardial Infarction" (225:724, 1973) from the Veterans Administration Cooperative Clinical Trial, prompts a question concerning duration and type of limited activity, as well as duration of hospital stay.In our institution it has become common to hospitalize patients in the coronary care unit for three to six days, depending on the finding of arrhythmias or the development of other serious complications of myocardial infarction. In the absence of serious arrhythmias or other complications, the patient may be allowed out of bed with limited activity within the room, even prior to discharge from the unit. After leaving the unit, still in the absence of serious arrhythmia or other complications, the patient may leave the hospital with moderate restriction of activity at home sometime during the second week. It is our impression (and a more serious study is contemplated) that both our in-hospital morbidity