急性冠状动脉综合征后的运动心电图检查：仍是首要检测方式吗？
Exercise electrocardiography after acute coronary syndromes: still the first testing modality?
作者信息
Bigi Riccardo, Cortigiani Lauro, Desideri Alessandro
机构信息
CNR, Clinical Physiology Institute, Niguarda Cà Granda Hospital, Milan, Italy.
出版信息
Clin Cardiol. 2003 Aug;26(8):390-5. doi: 10.1002/clc.4950260808.
Abstract
Recent diagnostic and therapeutic advances have been questioning the role of exercise electrocardiography (ECG) for risk stratification of patients recovering from an acute coronary syndrome. The aim of this review was to verify whether evidence still exists supporting the use of exercise ECG as first choice stress testing modality in this clinical setting in the light of the most recent prognostic data and of cost effectiveness considerations. It was concluded that a large body of evidence supports the use of exercise ECG as a cost-effective tool for prognostic purposes and for quality of life assessment following acute coronary syndromes.
摘要
近期诊断和治疗方面的进展对运动心电图（ECG）在急性冠状动脉综合征康复患者风险分层中的作用提出了质疑。本综述的目的是根据最新的预后数据和成本效益考量，验证是否仍有证据支持将运动心电图作为这一临床环境中首选的负荷试验方式。得出的结论是，大量证据支持将运动心电图作为一种具有成本效益的工具，用于急性冠状动脉综合征后的预后评估和生活质量评估。
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