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与运动试验相关的危及生命并发症的发生率(作者译)

[Frequency of life-threatening complications associated with exercise testing (author's transl)].

作者信息

Scherer D, Kaltenbach M

出版信息

Dtsch Med Wochenschr. 1979 Aug 17;104(33):1161-5. doi: 10.1055/s-0028-1129062.

DOI:10.1055/s-0028-1129062
PMID:467275
Abstract

Most of the statistics on complications of ergometric exercise tests come from the United States and are largely related to treadmill ergometry. A questionnaire was sent in the summer of 1978 to 198 investigative units in the German-speaking regions. The results of 1065 923 person-tests were made available. Exercise testing of 353 638 sports-persons revealed no serious complications. On the other hand, testing of 712 285 patients, predominantly with coronary heart disease, lead to 17 deaths and a total of 96 life-threatening complications. The result of this survey indicates that one must expect one such complication for every 7500 ergometry tests. The danger of pulmonary oedema on exercise in recumbency is about five times higher than that on sitting or standing. The most frequent complication was ventricular fibrillation. A defibrillator should therefore always be immediately available during exercise tests.

摘要

大多数关于测力计运动试验并发症的统计数据来自美国,且主要与跑步机测力计有关。1978年夏天,向德语区的198个调查单位发送了一份调查问卷。获得了1065923人次测试的结果。对353638名运动员进行的运动测试未发现严重并发症。另一方面,对712285名主要患有冠心病的患者进行测试,导致17人死亡和总共96起危及生命的并发症。这项调查结果表明,每7500次测力计测试中预计会出现一例此类并发症。卧位运动时发生肺水肿的风险比坐位或站立时高约五倍。最常见的并发症是心室颤动。因此,在运动测试期间应始终随时备有除颤器。

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