Dahn G, Kothe K, Dronski H
Inneren Abteilung, Zentrallabor des Kreiskrankenhauses, Humboldt-Universität zu Berlin.
Z Gesamte Inn Med. 1989 Nov 1;44(21):654-6.
According to the risk group classification on the basis of an isoenzyme monitoring n = 67 patients (of them 12 females) with acute myocardial infarction were temporarily differentiated: slight risk (n = 26) on the 14th day, medium risk (n = 16) on the 21st day and high risk (n = 25) greater than or equal to 28. By means of orientating tolerance test and measurement of the lactate concentrations examinations were performed on the day post infarction. All patients with slight risk achieved the physical performance of 375 Watt/min in slight lactate concentrations (less than 4 mmol/l). The performance/lactate quotient (WL-Q) for a slight risk was 1.23 for males and 0.98 for females, for a high risk only 0.66 (males) and 0.53 (females) for a high risk. Patients with high risk were reliably recognized and underwent an individually adapted physical conditioning, taking into consideration the sex-specific differences.
根据基于同工酶监测的风险组分类，n = 67例急性心肌梗死患者（其中12例为女性）被暂时区分如下：第14天为低风险（n = 26），第21天为中度风险（n = 16），28天及以上为高风险（n = 25）。在梗死后天进行定向耐受试验和乳酸浓度测量检查。所有低风险患者在低乳酸浓度（低于4 mmol/L）下达到了375瓦特/分钟的体能表现。低风险男性的体能/乳酸商（WL-Q）为1.23，女性为0.98，高风险男性仅为0.66，女性为0.53。高风险患者得到了可靠识别，并考虑到性别差异进行了个性化的体能训练。
