Comparisons Between Hemodynamics, During and After Bathing, and Prognosis in Patients With Myocardial Infarction

The purpose of this study was to establish the safest way to bathe patients with myocardial infarction (MI) through measuring the hemodynamics during and after bathing. Seventy patients with MI were bathed supine in a Hubbard tank filled with 42°C tap water for 5 min. The subjects were divided into...

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Published in:	JAPANESE CIRCULATION JOURNAL Vol. 63; no. 7; pp. 527 - 532
Main Authors:	Sorimachi, Masami, Ozawa, Masaki, Ueda, Hiroaki, Ebato, Shuichi, Kawamura, Kitaro, Ando, Hiromi, Hasegawa, Masaichi, Matsuzaki, Akihiro, Katagiri, Takashi
Format:	Journal Article
Language:	English
Published:	Kyoto The Japanese Circulation Society 01-07-1999 Japanese Circulation Society
Subjects:	Aged Bathing Baths - adverse effects Baths - methods Biological and medical sciences Blood Pressure - physiology Cardiac Catheterization Cardiology. Vascular system Chronic Disease Coronary Angiography Coronary heart disease Disease-Free Survival Exercise Test - methods Follow-Up Studies Heart Heart Rate - physiology Hemodynamics Hemodynamics - physiology Humans Medical sciences Middle Aged Myocardial infarction Myocardial Infarction - diagnosis Myocardial Infarction - etiology Myocardial Infarction - mortality Prognosis Pulmonary Wedge Pressure Safety Supine Position Survival Rate Thermal vasodilatation Work Capacity Evaluation Human Thermics Prognosis Infarct Myocardium Cardiovascular disease Hemodynamics Bath Coronary heart disease Myocardial disease Vasodilation
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Summary:	The purpose of this study was to establish the safest way to bathe patients with myocardial infarction (MI) through measuring the hemodynamics during and after bathing. Seventy patients with MI were bathed supine in a Hubbard tank filled with 42°C tap water for 5 min. The subjects were divided into 2 groups depending on their hemodynamic values 10 min after bathing: pulmonary capillary wedge pressure unchanged even after bathing (group A), and decreased pressure after bathing (group B). The left ventricular ejection fraction of group B was significantly higher than that of group A: 53.6% vs 39.7%, respectively (p<0.01). The physical work capacity of group B was significantly higher at 5.6 METs, than that of group A with 4.5 METs (p<0.05). During the average of their 37-month follow-up period, there were 3 cardiac events in group B and 6 in group A. There were 2 cardiac events during bathing, both of which occurred in group A. When patients with MI take a bath, it is essential to closely monitor them, especially to those patients with lower cardiac function, because they have a higher possibility of a cardiac event. (Jpn Circ J 1999; 63: 527 - 532)
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0047-1828 1347-4839
DOI:	10.1253/jcj.63.527