Cavell R M
Dept of Family Medicine, Louisiana State University Medical Center, Shreveport, USA.
J La State Med Soc. 1995 May;147(5):197-201.
After more than 50 years of refinement, the exercise test remains a useful device for diagnosis and prognosis of coronary artery disease. In addition, it is within the range of skills of primary care physicians. Understanding that the exercise test is not a noninvasive angiogram, and that angiography primarily defines anatomy, emphasizes the complementary nature of the tests. The addition of thallium scintigraphy to the exercise test brings enhanced sensitivity and specificity in certain clinical settings. The use of exercise testing with or without thallium scintigraphy is not currently recommended for evaluation of dysrhythmias, pre-operative clearance, or screening of asymptomatic individuals.
经过50多年的完善，运动试验仍然是诊断和预测冠状动脉疾病的一种有用手段。此外，它属于初级保健医生的技能范围。认识到运动试验并非无创血管造影，血管造影主要确定解剖结构，这突出了两种检查的互补性。在运动试验中加入铊闪烁扫描在某些临床情况下可提高敏感性和特异性。目前不建议使用或不使用铊闪烁扫描的运动试验来评估心律失常、术前检查或筛查无症状个体。
