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使用仰卧位自行车测力计对偏瘫患者进行心脏应激测试:初步研究。

Cardiac stress testing of hemiparetic patients with a supine bicycle ergometer: preliminary study.

作者信息

Moldover J R, Daum M C, Downey J A

出版信息

Arch Phys Med Rehabil. 1984 Aug;65(8):470-3.

PMID:6466078
Abstract

Ten hemiparetic subjects underwent functional cardiac stress testing on a supine bicycle ergometer. Their heart rate (HR), blood pressure (BP), and rate pressure product (RPP) were determined at rest and at incremental workloads. Three subjects with no previous history of coronary artery disease (CAD) had positive test results diagnostic or suggestive of CAD. None of the three subjects with a history of myocardial infarction displayed any ECG abnormalities during the exercise. The RPPs obtained during testing were compared to those recorded during various rehabilitation activities. As some difficulties arose in the performance and interpretation of the stress test in patients receiving beta-blocking medication and others with arthritis, spasticity, and orthopedic problems, procedures for handling these problems needed review. The supine bicycle proved to be an appropriate device for cardiac stress testing in a hemiparetic population.

摘要

十名偏瘫患者在仰卧位自行车测力计上进行了功能性心脏应激测试。在静息状态和递增负荷状态下测定了他们的心率(HR)、血压(BP)和心率血压乘积(RPP)。三名既往无冠状动脉疾病(CAD)病史的受试者测试结果呈阳性,诊断为CAD或提示患有CAD。三名有心肌梗死病史的受试者在运动过程中均未出现任何心电图异常。将测试期间获得的RPP与各种康复活动期间记录的RPP进行了比较。由于在接受β受体阻滞剂治疗的患者以及其他患有关节炎、痉挛和骨科问题的患者中,应激测试的执行和解读出现了一些困难,因此需要审查处理这些问题的程序。仰卧位自行车被证明是对偏瘫人群进行心脏应激测试的合适设备。

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