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[关于运动试验在非典型症状老年患者缺血性心脏病诊断中作用的个人经验]

[Personal experiences concerning the usefulness of the exercise test in the diagnosis of ischemic heart disease in aged patients with atypical symptomatology].

作者信息

Filice A, Sardella F, Villanti P

出版信息

Clin Ter. 1989 Apr 30;129(2):123-7.

PMID:2525997
Abstract

Present-day therapeutic possibilities, both medical and surgical, make it mandatory for the practitioner to identify elderly patients with ischemic heart disease which in these patients often presents with atypical symptoms. Twenty elderly patients with not clear-cut symptoms of coronary disorder were submitted to an exercise test on a walking belt. In 14 (70%) the test was positive and in 8 of these 14 cases previous dynamic electrocardiography had not yielded signs of ischemia. The authors consider correctly performed exercise testing the best means for identifying the often not diagnosed coronary impairment of elderly subjects.

摘要

目前的医疗和外科治疗方法,使得从业者必须识别患有缺血性心脏病的老年患者,因为这类疾病在这些患者中常常表现出非典型症状。二十名冠状动脉疾病症状不明确的老年患者接受了跑步机运动试验。其中14人(70%)试验呈阳性,在这14例中的8例中,之前的动态心电图检查未显示缺血迹象。作者认为正确进行的运动试验是识别老年患者中常常未被诊断出的冠状动脉损伤的最佳方法。

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