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[冠心病患者身体和心理应激对心电图影响的比较研究]

[Comparative studies on influences of physical and psychological strain on the ECG in coronary disease patients].

作者信息

Stein G, Jungmann H

出版信息

Z Kardiol. 1976 May;65(5):417-23.

PMID:59480
Abstract

In 7 patients suffering from heart infarction the electrocardiogram was telemetrically registered during telecast of the world championship in football 1974. The same patients were tested on a bicycle ergometer with standardized loads of 50, 75, 100 and 125 Watt for 3 minutes. Heart rate under psychial strain did not exceed the rate of 50 Watt on bicycle ergometer. Only 1 patient showed some extrasystoles during ergometry. Looking at television all patients developed extrasystoles, in one case 122. If the FRG took part in the game, ventricular extrasystoles were two times, auricular extrasystoles were four times more frequent than during games between foreign countries. It is concluded that psychical strain is able to produce dangerous arrhythmias in patients suffering from coronary heart disease. This danger cannot be proved by bicycle ergometry.

摘要

1974年世界杯足球赛转播期间,对7例心肌梗死患者的心电图进行了遥测记录。让这些患者在自行车测力计上以50、75、100和125瓦特的标准负荷进行3分钟测试。精神紧张时的心率未超过自行车测力计上50瓦特负荷时的心率。只有1例患者在测力计测试期间出现了一些早搏。观看电视时,所有患者均出现早搏,1例患者出现了122次早搏。如果联邦德国队参赛,室性早搏的发生次数是外国球队比赛期间的两倍,房性早搏的发生次数是外国球队比赛期间的四倍。得出的结论是,精神紧张能够在冠心病患者中引发危险的心律失常。这种危险无法通过自行车测力计测试得到证实。

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