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[不同病程心绞痛患者运动试验指标的长期随访结果]

[Results of a long-term follow-up of exercise test indicators in patients with various courses of stenocardia].

作者信息

Anikin V V

出版信息

Kardiologiia. 1988 Nov;28(11):82-5.

PMID:3230783
Abstract

The study was undertaken to examine the natural history of stable angina in 295 patients who had been followed up for an average of 5.4 years. The results showed that among them the survival rate was 77%. Out of 217 survivors, 47.5% exhibited no changes in the manifestations of coronary heart disease, only 7.8% showed improvement and increase in exercise performance, in 44.7%, their status became worse as manifested by more frequent anginal attacks and significantly diminished exercise tolerance; 3.2% developed congestive heart failure, there were marked ECG cardiac arrhythmias or scarry changes due to sustained myocardial infarction in 3.2% and 11.1%, respectively.

摘要

本研究旨在调查295例稳定型心绞痛患者的自然病史,这些患者平均随访了5.4年。结果显示,他们的生存率为77%。在217名幸存者中,47.5%的冠心病表现无变化,只有7.8%的患者运动能力有所改善和提高,44.7%的患者病情恶化,表现为心绞痛发作更频繁、运动耐量显著降低;3.2%的患者出现充血性心力衰竭,分别有3.2%和11.1%的患者因持续性心肌梗死出现明显的心电图心律失常或瘢痕改变。

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