Department of Cardiovascular Science, S. Camillo-Forlanini, Rome, Italy.
Can J Cardiol. 2012 Jul-Aug;28(4):515.e7-9. doi: 10.1016/j.cjca.2011.12.007. Epub 2012 Feb 25.
We describe the case of a patient with typical chest pain but negative maximal bicycle exercise-electrocardiogram test and for whom significant coronary artery disease was hypothesized by a positive handgrip exercise test and demonstrated by coronary angiography. Despite negative exercise stress test, handgrip as well as other provocative tests have to be considered when the pretest probability of coronary artery disease is intermediate and the symptoms are typical for angina.
我们描述了一例典型胸痛但最大运动量心电图试验阴性的患者，因其握力运动试验阳性和冠状动脉造影显示存在严重的冠状动脉疾病而被假设为阳性。尽管运动负荷试验为阴性，但当冠状动脉疾病的术前概率为中度且症状为典型心绞痛时，仍应考虑握力以及其他激发试验。
