Shatikhin A I, Pecherskaia M B, Novgorodskaia N N
Kardiologiia. 1975 Feb;15(2):72-8.
Veloergometry was practised in 35 patients with acute myocardial infarction at the time of their activiation (mainly on the 45-50th day of the disease or 7-8 days after they have been put on the feet). The investigation was aimed at detecting some signs of coronary insufficiency and cardiac incompetence, as well as of the limit of physical activity of such patients at the time of stimulated physical performance. The patients under examination demonstrated a significantly reduced amount of the work performed, which averaged 327 kgm. Among the patients complaints that led to discontinuance of the exercises were general fatigue and that of the feet in particular, dyspnoea and sensation of air deficiency, anginal attacks and deranged cardiac rhythm. In 28 cases changes in the terminal part of the ventricular ECG complex were recorded. The T-V1 greater than T-V6 syndrome was also analyzed before and after veloergometry. Of interest are the ECG changes in 2 groups of the patients, viz. the 1st without any ECG indications of transmural infarction and the 2nd one presenting such signs. Changes in the terminal part of the ventricular complex recorded in patients of the 2nd group, combined with dyspnoea, asphyxia and marked tachycardia during veloergometry suggest the presence in them not only of the coronary, but also of the left ventricular insufficiency.
对35例急性心肌梗死患者在病情好转期（主要是发病后45 - 50天或开始下床活动7 - 8天后）进行了踏车运动试验。该研究旨在检测冠状动脉供血不足和心功能不全的一些体征，以及此类患者在进行刺激性体力活动时的体力活动限度。受检患者的做功量显著减少，平均为327公斤米。导致运动停止的患者主诉包括全身疲劳，尤其是足部疲劳、呼吸困难和空气不足感、心绞痛发作以及心律紊乱。28例患者记录到心室心电图复合波终末部分的变化。还分析了踏车运动试验前后的T - V1大于T - V6综合征。两组患者的心电图变化值得关注，即第一组无透壁性梗死的心电图表现，第二组有此类表现。第二组患者记录到的心室复合波终末部分变化，再加上踏车运动试验期间的呼吸困难、窒息和明显心动过速，提示他们不仅存在冠状动脉供血不足，还存在左心室功能不全。
