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运动试验中的室性期前收缩性心律失常。II. 血流动力学相关性。

Ventricular extrasystolic arrhythmias in exercise testing. II. Haemodynamic correlations.

作者信息

Tavernarakis A, Michelakakis N, Ifantis G, Dervenagas S, Sionis D, Papaioannou C, Tsigas D, Michalopoulos C D

机构信息

Department of Cardiology, NIMTS Hospital, Athens, Greece.

出版信息

Eur Heart J. 1987 Aug;8 Suppl D:61-3. doi: 10.1093/eurheartj/8.suppl_d.61.

Abstract

Exercise testing (ET) has been used for assessing the arrhythmogenic tendency of myocardium in patients (pts) with coronary heart disease. It has been suggested that coronary patients with left ventricular (LV) dyssynergy are prone to present ventricular extrasystolic arrhythmia (VA) during ET. We studied the functional status of the LV in a group of 25 coronary patients who presented VA during ET (Group A), and compared the results with a group of 87 patients without VA during ET (Group B). No statistically significant difference was found between the two groups in end-diastolic pressure, ejection fraction, and extent of dyssynergy of the LV. Furthermore, no significant difference was noted in the extent of development of the collateral circulation.

摘要

运动试验(ET)已被用于评估冠心病患者心肌的致心律失常倾向。有人提出,患有左心室(LV)运动失调的冠心病患者在运动试验期间易于出现室性早搏性心律失常(VA)。我们研究了一组25例在运动试验期间出现VA的冠心病患者(A组)的左心室功能状态,并将结果与一组87例在运动试验期间未出现VA的患者(B组)进行了比较。两组在左心室舒张末期压力、射血分数和运动失调程度方面未发现统计学上的显著差异。此外,在侧支循环的发展程度方面也未发现显著差异。

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