Physical activity in the rehabilitation of patients following myocardial infarction. I. Basis of early ambulation

On the basis of foregoing studies, early ambulation is applicable in patients with acute uncomplicated MI, i.e., in the absence of cardiogenic shock, heart failure, continuing chest pain, serious arrhythmia, or hypotension. Early ambulation entails a systematic program involving progressive stages beginning in the coronary care unit and continuing through the remainder of the hospitalization period and into the convalescence and recovery phases. The physician is responsible for the prescription of physical activity but he may work closely with nurse, physical therapist, and others in its implementation.