Gottlieb S O
Midatlantic Cardiovascular Associates, Baltimore, Maryland 21204, USA.
Eur Heart J. 1996 Dec;17 Suppl G:53-8. doi: 10.1093/eurheartj/17.suppl_g.53.
It is important to detect the problem of ischaemic heart disease at a manageable stage at which treatments could have beneficial effects. A positive exercise test in patients with known ischaemic heart disease is a risk factor for cardiac mortality and there is a need to devise treatment strategies that take into account different approaches to higher- and lower-risk patients with ischaemic heart disease. In patients with stable angina pectoris, ST-segment depression on continuous ambulatory ECG monitoring is a reliable method of assessing ischaemic events in patients going about their normal daily activities. However, at the present time both of these assessment methods should only be considered for screening individuals already suspected of being at high risk of cardiovascular morbidity and mortality.
在可控制阶段检测出缺血性心脏病问题很重要，此时治疗可能会产生有益效果。已知患有缺血性心脏病的患者运动试验呈阳性是心脏死亡的一个危险因素，因此有必要制定治疗策略，该策略要考虑到针对缺血性心脏病高风险和低风险患者的不同方法。对于稳定型心绞痛患者，动态心电图监测中的ST段压低是评估患者日常正常活动时缺血事件的可靠方法。然而，目前这两种评估方法仅应考虑用于筛查已被怀疑有心血管发病和死亡高风险的个体。
