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Biomedical subjects

B Zdichynec

Publications and source records attributed to B Zdichynec.

At least 73 records · Page 4Linked to original sources
PubMed1977

[Experiences with the early mobilisation of elderly patients with myocardial infarction (author's transl)].

Patients with myocardial infarction undergoing a multi-stage activation programme according to the WHO recommendations, consisting of five basic phases, can be mobilised about 85% of the time within the first 20 days of hospitalisation and about 55% of the time already in the second week after the attack. The average hospital stay is four weeks. In the hospital phase the early mobilised patients showed a decrease in early mortality and complications, e.g., reinfarction, heart rupture, development of aneurysm, cardiac insufficiency, thromboembolism, and heart arrhythmia, compared to 190 patients of the same age, who were under traditional bed rest and anticoagulation therapy. It is particularly interesting to note that patients under bed rest and anticoagulation therapy (risk group II B) far more often incurred complications than patients without cumulative risk factors (groups IA, IIA), and patients undergoing early rehabilitation (group I B).

Aged↗
PubMed1976

Hospital prognosis of myocardial infarction with respect to risk factors.

Out of 9922 patients with ischaemic heart disease [IHD] hospitalized during a decade, clinico-pathological data of 796 patients with acute myocardial infarction [MI] were analyzed in detail. With the aid of a logico-probabilistic model, the author made an attempt to quantify the individual risks of the hospital prognosis of MI and to obtain the so-called cumulative risk of MI. The prognostic relevances of the characters investigated were tested by Bayes' theorem. By reducing the matrix "character-disease", the original number of 201 characters was reduced to 34, which were divided into five classes, as follows: a] anamnestic data about the occurrence of risk factors, b] data on coronary pains, c] objective clinical, electrocardiographic, or roentgenological findings, d] duration of the praehospitalization phase, e] patient's sex and age. The cumulative risk [sum of partial risks] amounted to 60% and less in MI with a favourable hospital prognosis [that is, at lethality lesser than 5%]; to 61%--100% with a medium fair hospital prognosis [at lethality from 6% to 30%], and to more than 101% with a poor hospital prognosis [at lethality of 41% and higher]. A comparative test of the prognostic index, performed in a different referral area, showed a relatively good practical usability of the criteria described.

Acute Disease↗