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自我预测性压力测试。急性心肌梗死后出院前改良压力测试。

Self-predicting stress tests. Predischarge modified stress testing after acute myocardial infarction.

作者信息

Nikolic G, Sugiura T, Spodick D H

出版信息

Br Heart J. 1982 Jun;47(6):559-62. doi: 10.1136/hrt.47.6.559.

DOI:10.1136/hrt.47.6.559
PMID:7082503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC481182/
Abstract

The outcome of 50 consecutive modified predischarge exercise tests after acute myocardial infarction was predicted by three independent observers on the basis of ST segment displacement in the resting pretest 12 lead electrocardiograms. The mean predictive accuracy for the three observers was 82% for a positive test defined as additional ST segment depression or elevation greater than or equal to 0.1 mV, and rose to 94% for a positive test defined as additional ST segment depression greater than or equal to 0.1 mV alone. For the majority of patients, the test result was already apparent in the resting 12 lead electrocardiogram.

摘要

三位独立观察者根据急性心肌梗死后连续50次改良出院前运动试验前静息12导联心电图的ST段移位情况,对试验结果进行了预测。对于定义为额外ST段压低或抬高大于或等于0.1mV的阳性试验,三位观察者的平均预测准确率为82%;对于仅定义为额外ST段压低大于或等于0.1mV的阳性试验,该准确率升至94%。对于大多数患者,试验结果在静息12导联心电图中已很明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2708/481182/8e918afebdca/brheartj00150-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2708/481182/8e918afebdca/brheartj00150-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2708/481182/8e918afebdca/brheartj00150-0048-a.jpg

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引用本文的文献

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本文引用的文献

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Clinical relevance of exercise-induced S-T segment elevation.运动诱发的ST段抬高的临床相关性。
Am J Cardiol. 1980 Dec 1;46(6):931-6. doi: 10.1016/0002-9149(80)90347-1.
2
Exercise testing early after myocardial infarction: predictive value for subsequent unstable angina and death.心肌梗死后早期运动试验:对后续不稳定型心绞痛和死亡的预测价值。
Am J Cardiol. 1980 Dec 1;46(6):909-14. doi: 10.1016/0002-9149(80)90344-6.
3
Symptom-limited vs heart-rate-limited exercise testing soon after myocardial infarction.心肌梗死后不久进行症状限制与心率限制运动测试
Circulation. 1980 Apr;61(4):738-43. doi: 10.1161/01.cir.61.4.738.
4
Clinical and angiographic correlates of exercise-induced ST-segment elevation. Increased detection with multiple ECG leads.
Circulation. 1980 Feb;61(2):286-96. doi: 10.1161/01.cir.61.2.286.
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The prognostic value of submaximal exercise testing with radionuclide ventriculography before hospital discharge in patients with recent myocardial infarction.近期心肌梗死患者出院前进行次极量运动试验联合放射性核素心室造影的预后价值。
Circulation. 1981 Sep;64(3):535-44. doi: 10.1161/01.cir.64.3.535.
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Predictive value of early postmyocardial infarction modified treadmill exercise testing in multivessel coronary artery disease detection.
Am Heart J. 1981 Aug;102(2):169-75. doi: 10.1016/s0002-8703(81)80005-1.
7
Risk stratification with low-level exercise testing 2 weeks after acute myocardial infarction.
Circulation. 1981 Aug;64(2):306-14. doi: 10.1161/01.cir.64.2.306.
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Early exercise tests after myocardial infarction.
Ann Intern Med. 1981 Jun;94(6):814-5. doi: 10.7326/0003-4819-94-6-814.
9
Early post-myocardial infarction treadmill stress testing. An accurate predictor of multivessel coronary disease and subsequent cardiac events.
Ann Intern Med. 1981 Jun;94(6):734-9. doi: 10.7326/0003-4819-94-6-734.
10
Limited exercise testing soon after myocardial infarction. Correlation with early coronary and left ventricular angiography.
Ann Intern Med. 1981 Jun;94(6):727-34. doi: 10.7326/0003-4819-94-6-727.