Fedorishko S S, Krotovich L S, Shevchuk S G, Iakub O I, Khomenko N N, Shilenko V N
Lik Sprava. 1995 May-Jun(5-6):66-9.
A total of 35 patients with neurocirculatory dystonia (NCD) presenting with a syndrome of early repolarization of ventricles (SERV), who comprised the principal group, were studied for an effect of the syndrome under conditions of the bicycle ergometer [correction of veloergometer] exercise test on EKG as well as on the indices for physical performance. The results obtained were compared to those in 32 NCD cases without SERV signs (control group) and 20 essentially healthy subjects. NCD SERV cases, while in bicycle ergometry [correction of veloergometry], developed depression up to the isometric line of the elevated St-segment, and in a portion of cases it was 0.5--1 mm under the isoline with subsequent restoration of EKG findings to the baseline level after the cessation of the test. SERV occurrence in NCD patients did not influence exercise tolerance, increments of heart rate, arterial blood pressure and indices for "double product" under bicycle ergometric [correction of veloergometric] testing. Pattern of changes in the above indices depended, for the most part, on the condition of the baseline vegetative tone.
对35例以心室早期复极综合征(SERV)为表现的神经循环性肌张力障碍(NCD)患者进行了研究,这些患者构成主要研究组。研究了在自行车测力计运动试验条件下,该综合征对心电图以及身体运动指标的影响。将所得结果与32例无SERV体征的NCD患者(对照组)和20例基本健康的受试者的结果进行了比较。NCD伴有SERV的患者在自行车测力计运动试验时,ST段抬高至等电位线出现压低,部分病例在等电位线下0.5 - 1毫米,试验停止后心电图结果随后恢复至基线水平。NCD患者中SERV的出现不影响运动耐力、心率增量、动脉血压以及自行车测力计运动试验下的“双乘积”指标。上述指标的变化模式在很大程度上取决于基础自主神经张力状态。