Kudriashev V E, Beletskiĭ Iu V, Ivanov S V, Labutskiĭ A K
Kardiologiia. 1987 Mar;27(3):40-5.
Possibilities of the treadmill test, bicycle ergometry and the isometric test are reviewed with respect to the diagnosis and assessment of the severity of coronary heart disease (CHD). A study of 40 normal males and 95 coronary patients (including 57 aneurysm-free ones and 38 with left ventricular postinfarction aneurysm) demonstrated low diagnostic value of standard dynamic load programs for the assessment of coronary insufficiency. An original treadmill test program has been developed where each new step carries a 1 MET increment of the load, allowing to assess the severity of CHD within a wide range of clinical manifestations, and group patients according to the involvement of 1 or 2 coronary arteries. The isometric test is of little value for the diagnosis of CHD, yet it can be useful in the assessment of the severity of coronary insufficiency and identification of patients with the involvement of 2 and 3 coronary arteries.
本文就跑步机测试、自行车测力计测试和等长测试在冠心病（CHD）诊断及严重程度评估方面的可能性进行了综述。一项针对40名正常男性和95名冠心病患者（包括57名无动脉瘤患者和38名左心室心肌梗死后动脉瘤患者）的研究表明，标准动态负荷方案对评估冠状动脉供血不足的诊断价值较低。已制定了一项原始的跑步机测试方案，其中每新增加一步负荷增加1梅脱，从而能够在广泛的临床表现范围内评估冠心病的严重程度，并根据单支或双支冠状动脉受累情况对患者进行分组。等长测试对冠心病的诊断价值不大，但在评估冠状动脉供血不足的严重程度以及识别双支和三支冠状动脉受累患者方面可能有用。
