Henes W, Beyer A, Steil E, Hassberg D
Abteilung Pädiatrie I, Eberhard-Karls-Universität, Tübingen.
Klin Padiatr. 1992 Nov-Dec;204(6):428-33. doi: 10.1055/s-2007-1025384.
Treadmill exercise electrocardiography and spirometry was recorded in 61 patients (aged from 5 to 23 years) who underwent corrective surgery for tetralogy of Fallot. The Bruce-protocol and a modified interval-protocol were compared to find out their ability to induce arrhythmias. Supraventricular arrhythmias were predominantly provoked by the interval-protocol while maximal exhaustion is often necessary for inducing ventricular arrhythmias which we found in 23% of our patients. Most of them were seen in the periods of recovery between or after the exercise. We propose a combination of both protocols, which will be compared with established forms of exercise-testing in further studies. The results of rhythm analysis of consecutive exercise tests in one patient after surgical repair could possibly be compared by using an "arrhythmia score" which tries to indicate the severity of different forms of arrhythmias. The values of maximal heart rate, oxygen consumption and endurance time recorded at maximal exercise (Bruce-protocol) were about 15% lower than correspondent values of healthy persons found by other authors.
对61例（年龄5至23岁）接受法洛四联症矫正手术的患者进行了跑步机运动心电图和肺活量测定。比较了布鲁斯方案和改良的间歇方案，以了解它们诱发心律失常的能力。室上性心律失常主要由间歇方案诱发，而诱发室性心律失常通常需要达到最大耗竭，我们发现23%的患者出现了室性心律失常。其中大多数出现在运动期间或运动后的恢复阶段。我们建议将两种方案结合起来，在进一步研究中将其与既定的运动测试形式进行比较。通过使用“心律失常评分”，有可能比较一名患者手术修复后连续运动测试的节律分析结果，该评分试图表明不同形式心律失常的严重程度。在最大运动（布鲁斯方案）时记录的最大心率、耗氧量和耐力时间值比其他作者发现的健康人的相应值低约15%。
