Rocco M B, Nabel E, Selwyn A P
Cardiol Clin. 1986 Nov;4(4):659-68.
The ST segment has long been used as a measure of experimental and clinical myocardial ischemia and injury. Ambulatory monitoring of the electrocardiogram makes recognition and quantification of both symptomatic and asymptomatic myocardial ischemia in patients with coronary artery disease possible. A body of evidence, including the known characteristics of ST-segment shifts in patients with and without coronary artery disease and validation studies with positron tomography, is presented to support the use of the electrocardiogram during dynamic activity as a valid marker of reversible myocardial ischemia. Recommendations for monitoring based on this information are provided.
ST段长期以来一直被用作实验性和临床心肌缺血及损伤的一项指标。动态心电图监测使识别和量化冠心病患者的有症状和无症状心肌缺血成为可能。本文提供了一系列证据，包括冠心病患者和非冠心病患者ST段偏移的已知特征以及正电子断层扫描的验证研究，以支持在动态活动期间将心电图用作可逆性心肌缺血的有效标志物。并基于这些信息给出了监测建议。
