Simícek J, Kána A, Michalík D, Miklová E, Sajnar J, Tesar Z
Fakultní nemocnice s poliklinikou, Ostrava.
Vnitr Lek. 1995 Sep;41(9):590-2.
No fatal complications occurred in 37,250 exercise tests (98.7% symptom limited) including 683 predischarge maximal tests in patients soon after myocardial infarction. Acute myocardial infarction was observed in 4 patients, ventricular fibrillation in 1 patient was successfully resolved by defibrillation. Extension of infarct area was recorded in 1 patient soon after myocardial infarction. Complication rates decreased from 1:3,400 in years 1969-1984 to 11,700 in years 1985-1994. Maximal exercise testing soon after myocardial infarction appears to be safe too. It cannot be replaced by submaximal testing. It appears to define high-risk patients suitable for revascularization procedures.
在37250次运动试验（98.7%为症状限制运动试验）中未发生致命并发症，其中包括心肌梗死后不久对患者进行的683次出院前最大运动试验。观察到4例急性心肌梗死，1例心室颤动经除颤成功转复。1例患者在心肌梗死后不久记录到梗死面积扩大。并发症发生率从1969 - 1984年的1:3400降至1985 - 1994年的1:11700。心肌梗死后不久进行最大运动试验似乎也是安全的。它不能被次最大运动试验所取代。它似乎能确定适合血运重建手术的高危患者。
