Temte J V
Department of Medicine, Hahnemann Hospital, Boston, Massachusetts.
Occup Med. 1988 Apr-Jun;3(2):241-54.
Given that many cardiac events can be exacerbated by nonexertional (psychological or social) activities, it is very difficult to extrapolate directly from a negative stress test to absence of risk or to presence of potential disease. Therefore, in general, the best form of cardiovascular evaluation is direct observation by the clinician of the patient on the job, or careful review of AEM obtained while the person performs the job. These caveats apply equally to evaluation of the asymptomatic as well as the symptomatic individual.
鉴于许多心脏事件可能因非运动性（心理或社交）活动而加重，很难直接从阴性压力测试推断出无风险或潜在疾病的存在。因此，一般来说，心血管评估的最佳形式是临床医生对患者工作时的直接观察，或对患者工作时获得的动态心电图监测（AEM）进行仔细审查。这些注意事项同样适用于无症状个体和有症状个体的评估。
