Kuznetsov V A, Antonov O S, Anmut T P, Baranov I I
Ter Arkh. 1988;60(9):99-102.
Altogether 29 patients (14 with a characteristic clinical picture of CHD, 6 with probable angina and 9 with nonischemic cardialgia) were investigated by methods of two-dimensional echocardiography (echoCG) at rest and in combination with isometric exercise and left atrial transesophageal pacing test (LATPT) as well as by electrocardiographic exercise tests (bicycle ergometry testing and LATPT). EchCG exercise tests were conducted in most of the examinees (96.6%) whereas bicycle ergometry results were obtained in 75.9% of the patients (p less than 0.05). A significantly higher frequency of positive results of echoCG exercise tests in patients with typical CHD as compared to electrocardiographic exercise tests, and significantly high correlation of the results of the combination of echoCG with isometric exercise and echoCG with a degree of the pain syndrome in the heart area were revealed. The results obtained made it possible to recommend echoCG exercise tests for the diagnosis of coronary insufficiency.
共有29例患者（14例具有典型冠心病临床表现，6例可能为心绞痛，9例为非缺血性心痛）接受了二维超声心动图（echoCG）检查，包括静息状态下、结合等长运动以及左心房经食管起搏试验（LATPT），同时还进行了心电图运动试验（自行车测力计测试和LATPT）。大多数受检者（96.6%）进行了echoCG运动试验，而75.9%的患者获得了自行车测力计测试结果（p<0.05）。结果显示，与心电图运动试验相比，典型冠心病患者echoCG运动试验阳性结果的频率显著更高，且echoCG与等长运动联合试验结果以及echoCG与心脏区域疼痛综合征程度之间存在显著的高相关性。所获得的结果使得推荐echoCG运动试验用于诊断冠状动脉供血不足成为可能。
