Early mobilization post-myocardial infarction: A scoping review

Area of Science:

• Cardiovascular Medicine
• Rehabilitation Science
• Evidence Synthesis

Background:

• Immobilization post-myocardial infarction (MI) can cause lasting functional impairment.
• Early mobilization (EM) is linked to positive outcomes in various clinical settings.
• The specific role and evidence base for EM in post-MI care remain unclear.

Purpose of the Study:

• To evaluate existing evidence on post-MI mobilization.
• To describe current mobilization practices for MI patients.
• To explore healthcare professionals' views on mobilization.

Main Methods:

• A comprehensive scoping review using Joanna Briggs Institute methodology.
• Searched multiple databases including PubMed, Embase, and CINAHL.
• Included 59 references analyzed across six thematic areas.

Main Results:

• Evidence supports earlier mobilization safety and effectiveness in pre-revascularization studies.
• Contemporary evidence for EM post-MI is limited.
• Mobilization is generally safe post-arterial catheterization with minimal compromise; however, most patients experience delayed mobilization.

Conclusions:

• Early mobilization may benefit post-MI care, but a significant evidence gap exists.
• Current professional guidelines minimally recommend EM post-MI.
• Further randomized clinical trials are essential to establish robust evidence and guide clinical practice.