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[心肌梗死康复期患者连续12小时心电图检查的价值。附40例报告]

[Value of continous 12-hour electrocardiography during the rehabilitation period in patients convalescing from myocardial infarction. Apropos of 40 cases].

作者信息

Mallion J M, Arie D, Debru J L, Morena H, Denis B, Cau G

出版信息

Arch Mal Coeur Vaiss. 1979 Aug;72(8):868-73.

PMID:91352
Abstract

The results of continuous 12-hour electrocardiography in 40 convalescent patients after myocardial infarction undergoing a programme of readaptation on average 4 weeks after the initial infarction are reported. The frequency and alarming nature of the VES observed in 75% patients who had already undergone selection for the coronary readaptation programme, 30% of whom were receiving antiarrhythmic therapy, is emphasized. The observation of a progressive increase in the number of VES during the day prompts the following suggestions: the possibility of limited continuous ECG monitoring at the end of the day, the need to adapt the dosage of antiarrhythmic drugs during this most critical period. The comparison of the results of continuous ECG with those of repeated exercise ECG seems very positive, but some reservations are made and it would seem logical to associate these two complementary methods of investigation.

摘要

报告了40例心肌梗死后康复患者连续12小时心电图检查的结果,这些患者在初次梗死后平均4周接受重新适应计划。强调了在75%已入选冠状动脉重新适应计划的患者中观察到室性早搏(VES)的频率和危险性,其中30%的患者正在接受抗心律失常治疗。观察到一天中VES数量逐渐增加,这提示了以下建议:在一天结束时进行有限的连续心电图监测的可能性,以及在这个最关键时期调整抗心律失常药物剂量的必要性。连续心电图结果与重复运动心电图结果的比较似乎非常积极,但也有一些保留意见,将这两种互补的检查方法结合起来似乎是合乎逻辑的。

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