Vnitr Lek 1990, 36(9):867-872

[Weight reduction in obese patients in the early period after myocardial infarct].

J Urban, R Rath: I. interní klinika, Institutu pro dalsí vzdĕlávání lékarů a farmaceutů Praha.

Klíčová slova: Diet, Reducing; Female; Humans; Lipids, blood, ; Male; Middle Aged; Myocardial Infarction, blood, ; Obesity, complications, ; Risk Factors; Time Factors; Weight Loss

During the early rehabilitation stage to 27 obese subjects after a non-complicated myocardial infarction a low energy diet was administered (2 and 5 MJ resp.--19 patients) or diet no. 7 or 9 (9 and 6 MJ--8 patients). The regime was started on average 8.4 days (at least 5 days) after the acute attack, its tolerance was satisfactory, there were no complications. In the group with a markedly low energy diet the cholesterol and total lipid levels declined. The body weight declined in both groups. It was revealed that early body weight reduction in obese subjects with non-complicated myocardial infarction involves no risk and the hospitalization period can be effectively used also as introduction to the regime in secondary prevention of ischaemic heart disease.