Stern S, Gavish A, Zion D, Keren A, Tzivoni D
Harefuah. 1989 Jan 1;116(1):25-8.
In patients with coronary artery disease, ischemic episodes, the majority of which are silent, can be detected electrocardiographically during daily activities by Holter ambulatory monitoring. We here summarize our experience with the prognostic significance of such ischemic episodes, silent or symptomatic. In 356 patients the progression of ischemic heart disease was evaluated by clinical follow-up averaging 2 years. Death, infarction, unstable angina, referral for coronary bypass surgery or balloon angioplasty were significantly more common in those with ischemic episodes on Holter monitoring than in those without. Thus, in addition to the results of the treadmill exercise test and determinations of left ventricular ejection fraction, the appearance of ischemic episodes is also of prognostic significance.
在冠心病患者中，缺血发作（其中大多数为无症状性）可通过动态心电图监测在日常活动期间进行心电图检测。在此，我们总结了此类缺血发作（无症状或有症状）的预后意义方面的经验。对356例患者进行了平均2年的临床随访，以评估缺血性心脏病的进展。动态心电图监测显示有缺血发作的患者中，死亡、梗死、不稳定型心绞痛、因冠状动脉搭桥手术或球囊血管成形术转诊的情况明显比无缺血发作的患者更为常见。因此，除了跑步机运动试验结果和左心室射血分数测定外，缺血发作的出现也具有预后意义。
