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[自行车运动试验在缺血性心脏病和冠状动脉狭窄性动脉硬化中的假阴性反应]

[False negative reactions of the bicycle ergometry test in ischemic heart disease and stenosing arteriosclerosis of the coronary arteries].

作者信息

Gasilin V S, Lupanov V P, Mazaeva V P

出版信息

Kardiologiia. 1981 Oct;21(10):94-7.

PMID:7300103
Abstract

The authors analyse 52 results of false-negative bicycle ergometry tests in patients with ischemic heart disease and stenosing coronary atherosclerosis (according to the findings of coronarography). During bicycle ergometry all patients attained submaximum pulse rate (85% of the maximum) and had a high tolerance (808 kgm/min, on the average) to exercise. False-negative results were encountered most frequently in isolated lesion of one of the coronary arteries (usually the left anterior descending branch). The frequency of myocardial ischemia detection during bicycle ergometry did not depend on the presence or absence of collaterals.

摘要

作者分析了52例缺血性心脏病和狭窄性冠状动脉粥样硬化患者(根据冠状动脉造影结果)的自行车运动试验假阴性结果。在自行车运动试验期间,所有患者均达到次最大心率(最大心率的85%),并且对运动具有较高耐受性(平均808 kgm/min)。假阴性结果最常出现在单支冠状动脉(通常是左前降支)孤立病变中。自行车运动试验期间心肌缺血检测的频率并不取决于侧支循环的有无。

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