Drăgulescu S I, Brînzan O, Streian C
First Medical Clinic, Department of Cardiology, County Timişoara Hospital, Romania.
Rom J Intern Med. 1991 Jan-Jun;29(1-2):33-7.
To identify the patients with hypertrophic cardiomyopathy at high risk of morbid events we investigated 25 patients with echocardiographic evidence of hypertrophic cardiomyopathy. All the patients were subjected to submaximal exercise test under electrocardiographic monitoring. More than 50% of the patients developed ventricular arrhythmias, about half of them presenting multiform or repetitive premature ventricular depolarizations; two patients presented ventricular tachycardia. Our results suggest the value of exercise test in identifying the patients at high risk of developing severe arrhythmias.
为了识别肥厚型心肌病患者中发生不良事件的高风险患者，我们对25例有肥厚型心肌病超声心动图证据的患者进行了调查。所有患者均在心电图监测下进行次极量运动试验。超过50%的患者出现室性心律失常，其中约一半表现为多形性或重复性室性早搏；2例患者出现室性心动过速。我们的结果表明运动试验在识别有发生严重心律失常高风险患者方面的价值。
