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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.

DOI:10.1002/clc.4950260808
PMID:12918642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6654314/
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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本文引用的文献

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Cost-effectiveness of a conservative, ischemia-guided management strategy after non-Q-wave myocardial infarction: results of a randomized trial.非Q波心肌梗死后保守、缺血指导管理策略的成本效益：一项随机试验的结果
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Incremental prognostic value of stress echocardiography as an adjunct to exercise electrocardiography after uncomplicated myocardial infarction.在无并发症心肌梗死后，作为运动心电图辅助手段的负荷超声心动图的增量预后价值。
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Invasive compared with non-invasive treatment in unstable coronary-artery disease: FRISC II prospective randomised multicentre study. FRagmin and Fast Revascularisation during InStability in Coronary artery disease Investigators.不稳定型冠状动脉疾病的侵入性治疗与非侵入性治疗比较：FRISC II前瞻性随机多中心研究。冠状动脉疾病不稳定时的法安明与快速血管重建研究组。
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