Bluzhas I n, Bloznialene K P
Kardiologiia. 1987 Nov;27(11):19-22.
Routine submaximum bicycle ergometry testing with continuous ECG monitoring conducted in 900 patients 3 weeks after the onset of acute myocardial infarction has demonstrated the safety of this procedure. Complications in the acute phase of the disease were not considered contraindications for exercise. A relationship has been found between anginal pain and ST depression in response to exercise and the rate of sudden cardiac deaths over a two-year follow-up period, the correlation being the strongest for the first 6 months after the onset of MI. Therefore, stress tolerance testing at such an early stage of the condition makes it possible to identify subjects at high risk of sudden death, and also can serve as a criterion in selecting adequate individualized strategy of rehabilitation.
对900例急性心肌梗死发病3周后的患者进行常规次极量踏车运动试验并持续监测心电图，结果表明该检查方法具有安全性。疾病急性期的并发症未被视为运动的禁忌证。在两年的随访期内，发现运动诱发的心绞痛和ST段压低与心源性猝死率之间存在关联，这种关联在心肌梗死发病后的前6个月最为显著。因此，在病情的这一早期阶段进行应激耐力测试，有助于识别猝死高危患者，也可作为选择适当个体化康复策略的一项标准。
