无症状性心肌缺血患者的检测与预后

Detection and prognosis of the asymptomatic patient with silent myocardial ischemia.

作者信息

Cohn P F

机构信息

Department of Medicine, State University of New York Health Sciences Center, Stony Brook 11794.

出版信息

Am J Cardiol. 1988 Jan 29;61(3):4B-6B. doi: 10.1016/0002-9149(88)91347-1.

DOI:10.1016/0002-9149(88)91347-1

PMID:3277364

Abstract

Detection of asymptomatic silent ischemia relies mainly on exercise screening procedures in (1) selected patient subgroups with increased likelihood of having latent coronary artery disease and (2) patients after infarction with uncomplicated courses. Prognosis in these patients varies, depending on the extent of disease and left ventricular dysfunction. The worst prognosis is found in patients with prior infarctions, 3-vessel disease and poor exercise tolerance. Prognosis is excellent in totally asymptomatic patients with only 1-vessel disease and good ventricular function.

摘要

无症状性隐匿性心肌缺血的检测主要依赖于运动筛查程序，用于：（1）选定的有潜在冠状动脉疾病可能性增加的患者亚组；（2）梗死病情不复杂的患者。这些患者的预后各不相同，取决于疾病的严重程度和左心室功能障碍情况。预后最差的是既往有梗死、三支血管病变且运动耐量差的患者。对于仅有单支血管病变且心室功能良好的完全无症状患者，预后极佳。