Gori P P, Maras P, Pivotti F, Fonda F, Scardi S, Camerini F
G Ital Cardiol. 1982;12(12):901-6.
Ventricular premature beats are probably important in the prognostic evaluation after acute myocardial infarction and may allow a better management of these patients. The purpose of this study was to compare the sensitivity of two methods exercise testing - ET - and ambulatory electrocardiographic monitoring - AM - detecting potentially dangerous ventricular arrhythmias and to evaluate their prognostic value. Sixty-four patients have been studied (53 males and 11 females); their mean age was 61 years. They underwent ET and AM before discharge (mean 13.9 days) and were followed for a period of 12 months.
-- ET and AM are useful to detect ventricular arrhythmias; -- AM is the most sensitive method; -- there are no significant differences between the two methods in the diagnosis of major arrhythmias; -- the combined use of the two methods has a greater sensitivity; -- late mortality is not higher in the patients who have suffered from major arrhythmias in the acute phase of the disease.
室性早搏在急性心肌梗死后的预后评估中可能很重要，或许能使这些患者得到更好的治疗。本研究的目的是比较运动试验（ET）和动态心电图监测（AM）这两种方法检测潜在危险室性心律失常的敏感性，并评估它们的预后价值。对64例患者进行了研究（53例男性和11例女性）；他们的平均年龄为61岁。患者在出院前（平均13.9天）接受了ET和AM检查，并随访了12个月。
——ET和AM对检测室性心律失常有用；——AM是最敏感的方法；——在诊断主要心律失常方面，两种方法之间无显著差异；——两种方法联合使用具有更高的敏感性；——在疾病急性期发生主要心律失常的患者中，晚期死亡率并不更高。
