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To the Editor.—
The Heart Disease Advisory Committee's article, "Optimal Criteria for Care of Heart Disease Patients" (226:1340, 1973) disappointed me because within their hospital categories no mention was made of the long-term care of heart disease patients. Now is the time for more hospitals to go one step further and establish postmyocardial infarction exercise rehabilitation centers.The value of early ambulation and progressive exercise programs to the cardiac patient is being more favorably documented each day. Publications on this topic, however, point to exercise environment controls that must be maintained if additional catastrophes are to be prevented. Where can a physician and his patient find this controlled environment? Possibly a YMCA, recreation center, or nearby university has a specialized adult fitness program. Unfortunately, these programs, when found, often lack experienced professional personnel and emergency equipment.The addition of a physical educator to a hospital staff would complete the team
Wright HF. The Myocardial Infarction Rehabilitation Center. JAMA. 1974;227(11):1259. doi:10.1001/jama.1974.03230240017005
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