Cerri B, Pesciatini F, Grasso S, Cefis M, Guarnaccia E
Divisione di Riabilitazione Cardiologica degli Sepedali Civili di Brescia, Fasano del Garda BS.
G Ital Cardiol. 1987 Dec;17(12):1126-9.
The authors relate their own experience with 24 hr Holter monitoring in course of cardiac rehabilitation after coronary bypass surgery as well as after valvular replacement. As regards patients after coronary surgery they report the experience they got in the evaluation of heart rate trend and cardiac arrhythmias as well as in silent ischemia study. About this last problem 116 patients with signs of ischemia both in stress test and in Holter recording are considered out of 491 who had undergone coronary surgery. Ischemia during 24 hr Holter monitoring develops at an heart rate lower than effort ischemia. Holter monitoring proves to be very useful also in patients after valvular replacement to study arrhythmias and to check drugs' efficacy. After displaying the results concerning arrhythmias of 24 hr Holter electrocardiograms recorded in 207 randomized patients who had undergone valvular replacement 15 days before, the authors dwell upon the use of Holter electrocardiography in 82 valvular patients after pharmacological cardioversion and show that major arrhythmias get a clear reduction thanks to rehabilitation.
作者介绍了他们在冠状动脉搭桥手术后以及瓣膜置换术后心脏康复过程中进行24小时动态心电图监测的经验。对于冠状动脉手术后的患者，他们报告了在评估心率趋势、心律失常以及无症状性心肌缺血研究方面的经验。关于最后一个问题，在491例接受冠状动脉手术的患者中，有116例在压力测试和动态心电图记录中均有缺血迹象。24小时动态心电图监测期间的缺血发生时的心率低于运动诱发缺血时的心率。动态心电图监测在瓣膜置换术后的患者中对于研究心律失常和检查药物疗效也非常有用。在展示了15天前接受瓣膜置换的207例随机患者记录的24小时动态心电图心律失常结果后，作者详述了82例瓣膜病患者在药物复律后的动态心电图应用，并表明康复治疗使主要心律失常明显减少。
