Dohrmann M L
Postgrad Med. 1986 Nov 1;80(6):175-8, 181-4. doi: 10.1080/00325481.1986.11699599.
All patients with chronic stable angina presumed to be due to coronary artery disease should undergo exercise stress testing early in evaluation for evidence of high-risk coronary disease. If the exercise stress test shows early positive findings, patients should undergo cardiac catheterization to exclude left main coronary vessel disease and three-vessel disease with concomitant left ventricular dysfunction. Patients with unstable angina who are subsequently stabilized on medical therapy should undergo a limited exercise stress test before discharge from the hospital to identify those at high risk. An ambulatory ECG is also helpful in evaluating for evidence of silent ischemia in these patients.
所有被认为患有因冠状动脉疾病导致的慢性稳定型心绞痛的患者，在评估早期均应接受运动负荷试验，以寻找高危冠状动脉疾病的证据。如果运动负荷试验显示早期阳性结果，患者应接受心导管检查，以排除左主干冠状动脉疾病和伴有左心室功能障碍的三支血管疾病。经药物治疗后病情稳定的不稳定型心绞痛患者，在出院前应接受有限的运动负荷试验，以识别高危患者。动态心电图对评估这些患者的无症状性心肌缺血证据也有帮助。
