Malani S K, Roy C P, Nath C S, Sasikumar M, Akhtar M
Department of Medicine, AFMC, Pune.
J Assoc Physicians India. 1993 Aug;41(8):516-7.
Complication in 1000 consecutive Tread Mill Tests (TMT) done at the Cardiology Centre of Command Hospital (SC) Pune are reported. The tests were done following Bruce Protocol and analysed based on Selzer's criteria. Complications were noted in 18 cases (1.8%) which included ventricular fibrillation, ventricular tachycardia, atrial fibrillation, malignant VPBs, conduction disturbances, asystole following hyperventilation (HV), complete SA block following HV, atrial flutter following HV, hypotension and severe angina requiring ICCU care. No acute myocardial infarctions or deaths were noted. Coronary arteriography (CART) was done in 50 (5.0%) selected cases including 10 with complications. It is concluded that TMT is a safe procedure if carried out after proper patient selection and under supervision of an experienced and efficient team.
本文报告了在浦那陆军司令部医院（SC）心脏病中心连续进行的1000例平板运动试验（TMT）中的并发症情况。这些试验按照布鲁斯方案进行，并根据塞尔泽标准进行分析。18例（1.8%）出现并发症，包括室颤、室性心动过速、房颤、恶性室性早搏、传导障碍、过度通气（HV）后心搏停止、HV后完全性窦房阻滞、HV后心房扑动、低血压以及需要重症冠心病监护病房（ICCU）护理的严重心绞痛。未发现急性心肌梗死或死亡病例。对50例（5.0%）选定病例进行了冠状动脉造影（CART），其中10例有并发症。得出的结论是，如果在适当选择患者后并在经验丰富且高效的团队监督下进行TMT，该检查是一种安全的操作。
