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运动负荷试验恢复阶段的运动诱发ST段抬高。

Exercise-induced ST-segment elevation during the recovery phase of an exercise stress test.

作者信息

Ibrahim Morhaf, Hasan Reham, Pitonak Peter

机构信息

Department of Electrophysiology, Division of Cardiology, University of Florida in Jacksonville, Jacksonville, Florida;

出版信息

Exp Clin Cardiol. 2013 Spring;18(2):e92-4.

PMID:23940454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3718606/
Abstract

To the authors' knowledge, the present report represents the first case in the medical literature in which an ST-segment elevation during the recovery phase of an exercise stress test indicated significant left main coronary artery stenosis. Although the patient did not complain of chest pain during the test, the ST-segment elevation persisted 20 min into recovery.

摘要

据作者所知,本报告是医学文献中首例运动负荷试验恢复阶段出现ST段抬高提示左主干冠状动脉严重狭窄的病例。尽管患者在试验过程中未诉胸痛,但ST段抬高在恢复阶段持续了20分钟。

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引用本文的文献

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2
ST elevation occurring during stress testing.负荷试验期间出现的ST段抬高。
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本文引用的文献

1
ST-segment elevation in the recovery phase of nuclear exercise stress test with ⁹⁹mTc-sestamibi in a patient with critical RCA stenosis and subtle systolic dysfunction in speckle tracking imaging.
Nucl Med Rev Cent East Eur. 2012 Apr 24;15(1):75-9. doi: 10.5603/nmr-18734.
2
Exercise-induced ST-segment elevation in ECG lead aVR is a useful indicator of significant left main or ostial LAD coronary artery stenosis.心电图 aVR 导联运动引起的 ST 段抬高是左主干或开口左前降支冠状动脉狭窄的有用指标。
JACC Cardiovasc Imaging. 2011 Feb;4(2):176-86. doi: 10.1016/j.jcmg.2010.11.014.
3
ST segment elevation in lead aVR during exercise testing is associated with LAD stenosis.运动试验期间aVR导联ST段抬高与左前降支狭窄相关。
Eur J Nucl Med Mol Imaging. 2007 Mar;34(3):338-45. doi: 10.1007/s00259-006-0188-1. Epub 2006 Sep 22.
4
Cost-effectiveness of coronary artery disease screening in asymptomatic patients with type 2 diabetes and other atherogenic risk factors in Japan: factors influencing on international application of evidence-based guidelines.日本2型糖尿病及其他动脉粥样硬化风险因素无症状患者冠状动脉疾病筛查的成本效益:影响循证指南国际应用的因素
Int J Cardiol. 2007 May 16;118(1):88-96. doi: 10.1016/j.ijcard.2006.03.086. Epub 2006 Sep 1.
5
Electrocardiographic exercise stress testing: an update beyond the ST segment.心电图运动负荷试验:ST段以外的最新进展。
Int J Cardiol. 2007 Apr 4;116(3):285-99. doi: 10.1016/j.ijcard.2006.04.047. Epub 2006 Jul 11.
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Prognostic significance of ST-segment elevation during dobutamine stress echocardiography.
Am Heart J. 2006 Mar;151(3):744.e1-744.e6. doi: 10.1016/j.ahj.2005.10.013.
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[Significance of exercise induced ST elevation in patient without a history of previous myocardial infarct].[无既往心肌梗死病史患者运动诱发ST段抬高的意义]
Arch Mal Coeur Vaiss. 1999 Oct;92(10):1287-94.
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[ST segment elevation during exercise test and perfusion scintigraphy in patients without infarction].
Rev Esp Cardiol. 1995 Sep;48(9):600-5.
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Elevated ST segments with exercise in ventricular aneurysm.
J Electrocardiol. 1972;5(4):317-23. doi: 10.1016/s0022-0736(72)80041-4.
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Coronary arteriographic findings in patients with axis shifts or S-T-segment elevations on exercise-stress testing.
Am Heart J. 1973 Nov;86(5):603-15. doi: 10.1016/0002-8703(73)90337-2.