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[急性心肌梗死后第3周次极量和症状限制运动负荷试验的结果及价值]

[Results and value of a submaximal and symptom-limited stress test in the 3d week following acute myocardial infarct].

作者信息

Schaller K, Nello S

出版信息

Z Gesamte Inn Med. 1984 Aug 1;39(15):365-7.

PMID:6495797
Abstract

In the third week after acute, definitive myocardial infarction in 45 patients (34 males, 11 females) at an average age of 63 years a submaximal and symptom-limited, respectively, exercise test was performed. With 57 watt and a watt pulse of 0.53 the males reached significantly higher performances than the females. 17 patients who had to finish the test above all on account of the transition of the submaximal heart rate showed a high performance of more than 50 watt. On the other hand, patients showed low performances who in the acute phase had transient, medicamentously controllable bradytachycardias, right cardiac insufficiency or depression of the blood pressure or finished the test on account of the depression and the elevation, respectively, of the ST segment. In the first year died 5 patients who all were older than 70 years and had shown low performances between 25 and 50 watt in the exercise test of the third week, connected with depressions of the ST segment of higher degree.

摘要

在45例(34例男性,11例女性)平均年龄63岁的患者发生急性、明确的心肌梗死后第三周,分别进行了次极量和症状限制性运动试验。男性以57瓦及0.53的瓦数脉搏达到的运动表现显著高于女性。17例因次极量心率转变而不得不结束试验的患者表现出超过50瓦的较高运动表现。另一方面,在急性期有短暂的、药物可控制的缓速心律失常、右心功能不全或血压下降,或分别因ST段压低和抬高而结束试验的患者运动表现较低。在第一年,5例患者死亡,他们均年龄超过70岁,在第三周的运动试验中表现为25至50瓦的低运动表现,并伴有较高程度的ST段压低。

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