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[药物稳定的不稳定型心绞痛患者的早期自行车运动试验——与冠状动脉造影的相关性]

[The early bicycle ergometry test in drug-stabilized patients with unstable angina pectoris--the correlation with coronary angiography].

作者信息

Penkov N, Sirakova V, Savova A, Denchev S, Uzunov G

出版信息

Vutr Boles. 1990;29(5):35-40.

PMID:2080609
Abstract

The relation between the results of the early submaximal symptom-limited bicycle ergometry [correction of veloergometric] test and coronary angiography were examined in 127 patients with unstable angina pectoris stabilized by medicaments. In 19 (15.0%) patients the test was negative and in 108 (85%) patients the test was positive (angina pectoris and/or ST depression greater than or equal to 0.1 mV at 80 ms after the point J of the ECG). Between the results of the early bicycle ergometry [correction of veloergometric] test and the coronary angiography, performed soon after the test, there was a close correlation. By using strict criteria or a combination of criteria for assessment of residual ischemia the test can with great accuracy differentiate the patients with multivascular from those with monovascular disease or with healthy coronary vessels.

摘要

对127例经药物治疗病情稳定的不稳定型心绞痛患者进行了早期次极量症状限制自行车测力计测试结果与冠状动脉造影之间关系的研究。19例(15.0%)患者测试结果为阴性,108例(85%)患者测试结果为阳性(心绞痛和/或心电图J点后80毫秒ST段压低≥0.1毫伏)。早期自行车测力计测试结果与测试后不久进行的冠状动脉造影结果之间存在密切相关性。通过使用严格标准或评估残余缺血的标准组合,该测试能够非常准确地区分多支血管病变患者与单支血管病变患者或冠状动脉正常的患者。

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