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[主动脉冠状动脉搭桥术后运动试验的价值]

[Value of the exercise test after aortocoronary bypass].

作者信息

Lancelin B, Guermonprez J L, Bourdenet J, Médard C, Wagniart P, Guize L, Maurice P

出版信息

Arch Mal Coeur Vaiss. 1977 Jul;70(7):757-63.

PMID:411452
Abstract

The 100 patients who underwent an exercise test and a follow-up coronary arteriogram at a mean interval of 10.1 months after an aorto-coronary bypass had suffered preoperatively from incapacitating angina 50%), a threatened infarction syndrome (35%), or Prinzmetal's angina (15%). The majority had a single bypass graft (72%), but 28% had two or three grafts. The exercise test was positive 39 times, negative 51 times, and indeterminate in 10. Correlation with the clinical picture shows that 27% of the patients in functional category I had a positive exercise test. Correlation with coronary arteriography shows that a positive test is reliable evidence for a defect or occlusion of the graft. On the other hand, a negative exercise test is a less reliable indicator of a good result. No instances of positive exercise tests were found when there was complete alleviation of the coronary condition.

摘要

100例患者在接受主动脉-冠状动脉搭桥术后平均10.1个月接受了运动试验及随后的冠状动脉造影检查。术前,这些患者患有致残性心绞痛(50%)、濒临梗死综合征(35%)或变异型心绞痛(15%)。大多数患者有单支搭桥血管(72%),但28%有两支或三支搭桥血管。运动试验结果为阳性39次,阴性51次,不确定10次。与临床表现的相关性显示,功能分级为Ⅰ级的患者中27%运动试验呈阳性。与冠状动脉造影的相关性显示,阳性试验是移植血管存在病变或闭塞的可靠证据。另一方面,运动试验阴性对良好结果的指示性较差。冠状动脉状况完全缓解时未发现运动试验阳性的情况。

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