Otto A C, van Aswegen A, Kleynhans P H, Lötter M G, Minnaar P C, Marx J D, Iturralde M, Blignaut J C
S Afr Med J. 1981 Mar 28;59(14):482-7.
Radionuclide left ventricular ejection fraction (LVEF) has been determined in a group of 14 female patients at rest and during graded supine bicycle exercise. One group consisted of 9 patients complaining of chest pain and demonstrating positive exercise electrocardiography (EECG), but with normal contrast angiographic results. The second group of 5 patients had a normal response to EECG and was used as a control group. LVEF increased markedly in both groups during exercise. This study confirms the known fact of high false-positive EECG in female patients and that exercise radionuclide LVEF response can be used as a final screening test for cardiac catheterization in female patients demonstrating positive EECG.
已对一组14名女性患者在静息状态和分级仰卧位自行车运动期间测定了放射性核素左心室射血分数(LVEF)。一组由9名主诉胸痛且运动心电图(EECG)呈阳性但造影血管造影结果正常的患者组成。第二组5名患者对EECG反应正常,用作对照组。两组患者在运动期间LVEF均显著增加。本研究证实了女性患者中EECG假阳性率高这一已知事实,并且运动放射性核素LVEF反应可作为对EECG呈阳性的女性患者进行心脏导管检查的最终筛查试验。