Abboud L, Hir J, Eisen I, Cohen A, Markiewicz W
Department of Cardiology, Rambam Medical Center, Haifa, Israel.
Isr J Med Sci. 1992 Oct;28(10):694-9.
We performed exercise testing in 236 of 289 survivors of acute myocardial infarction to test the hypothesis that exercise-related parameters contribute to cardiac prognosis. Beta-blockers and/or calcium antagonists were used by 50% and 55% respectively of the study population. Of the 236 patients 67 had received thrombolytic therapy during the acute event. By either univariate or multivariate analysis, we found that exercise-related parameters were poor predictors of cardiac prognosis. Therefore, in our population, exercise testing performed 3 weeks after myocardial infarction provides little information of prognostic value.
我们对289例急性心肌梗死幸存者中的236例进行了运动试验,以验证运动相关参数有助于心脏预后的假说。分别有50%和55%的研究对象使用了β受体阻滞剂和/或钙拮抗剂。在这236例患者中,67例在急性发病期间接受了溶栓治疗。通过单因素或多因素分析,我们发现运动相关参数对心脏预后的预测性较差。因此,在我们的研究人群中,心肌梗死后3周进行的运动试验几乎不能提供具有预后价值的信息。