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[用于消除体育锻炼测试假阳性结果的过度通气诊断]

[Diagnosis of hyperventilation for elimination of false-positive results of physical exercise test].

作者信息

Nechaev D D, Zhorova I I, Levina G A, Tarichko Iu V

出版信息

Kardiologiia. 1977 Mar;17(3):83-6.

PMID:886704
Abstract

The study was conducted in 55 patients with cardiac pains. Electrocardiography was used successively prior to, during and following physical exercises, followed by Seldinger selective coronary angiography, and electrocardiography prior to, during and following hyperventilation tests. In 2 of 55 patients the result of the exercise test was interpreted as false-positive, since the coronary angiography demonstrated intact vessels, and during hyperventilation ECG recorded a decreased ST segment. To avoid false-positive results in patients with suspected angina pectoris the physical exercises tests can be considered positive only in cases in which hyperventilation caused no ECG changes typical for angina pectoris.

摘要

该研究对55例有心脏疼痛的患者进行。在体育锻炼前、锻炼期间和锻炼后依次进行心电图检查,随后进行Seldinger选择性冠状动脉造影,并在过度通气试验前、试验期间和试验后进行心电图检查。55例患者中有2例运动试验结果被判定为假阳性,因为冠状动脉造影显示血管完好,且过度通气期间心电图记录到ST段下降。为避免疑似心绞痛患者出现假阳性结果,只有在过度通气未引起心绞痛典型心电图变化的情况下,体育锻炼试验才能被视为阳性。

相似文献

1
[Diagnosis of hyperventilation for elimination of false-positive results of physical exercise test].[用于消除体育锻炼测试假阳性结果的过度通气诊断]
Kardiologiia. 1977 Mar;17(3):83-6.
2
[Hyperventilation test of ischemic heart disease patients].[缺血性心脏病患者的过度通气试验]
Kardiologiia. 1984 Jun;24(6):109-11.
3
Hyperventilation and angina pectoris.过度换气与心绞痛
J R Coll Physicians Lond. 1987 Jan;21(1):46-50.
4
[False-positive and false-negative electrocardiographic test results with a measured physical load in ischemic heart disease].[缺血性心脏病中负荷试验时心电图检查结果的假阳性与假阴性]
Kardiologiia. 1980 Oct;20(10):120-4.
5
[Comparison of the electrocardiographic, clinical and coronarographic data in ischemic heart disease after physical exertion].[体力活动后缺血性心脏病的心电图、临床及冠状动脉造影数据比较]
Kardiologiia. 1976 Apr;16(4):31-5.
6
Investigation of the most effective provocation test for patients with coronary spastic angina: usefulness of accelerated exercise following hyperventilation.冠状动脉痉挛性心绞痛患者最有效激发试验的研究:过度通气后加速运动的效用
Jpn Circ J. 1999 Feb;63(2):85-90. doi: 10.1253/jcj.63.85.
7
Significance of hyperventilation-induced ST segment depression in patients with coronary artery disease.过度通气诱发的ST段压低在冠状动脉疾病患者中的意义
J Am Coll Cardiol. 1989 Mar 15;13(4):804-10. doi: 10.1016/0735-1097(89)90220-9.
8
False-positive ST-T-wave changes secondary to hyperventilation and exercise. A cineangiographic correlation.
Ann Intern Med. 1974 Oct;81(4):479-82. doi: 10.7326/0003-4819-81-4-479.
9
Electrocardiographic changes during hyperventilation resembling myocardial ischemia in patients with normal coronary arteriograms.
Am Heart J. 1974 Mar;87(3):383-90. doi: 10.1016/0002-8703(74)90081-7.
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[Clinical significance of exercise-induced ST-segment elevation in lead aVR and V1 in patients with chronic stable angina pectoris and strongly positive exercise test results].[慢性稳定型心绞痛患者运动试验结果强阳性时运动诱发aVR及V1导联ST段抬高的临床意义]
Pol Arch Med Wewn. 2005 Dec;114(6):1180-9.

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