Fowler G C, Evans C H, Altman M A
Department of Family Practice and Community Medicine, University of Texas Health Science Center at Houston Medical School, Houston, Texas 77030, USA.
Prim Care. 1997 Jun;24(2):375-406. doi: 10.1016/s0095-4543(05)70399-7.
Exercise testing is an effective method for evaluating patients with chest pain, for diagnosing and managing coronary artery disease, for determining prognosis in patients with known coronary disease, for determining exercise capacity, for evaluating exercise-induced arrhythmias, for verifying the safety of exercise, and for customizing an exercise prescription. With proper clinician training and careful selection of patients, exercise testing is a safe procedure (less than 1 complication per 10,000 cases). Performing office-based exercise testing improves clinician's basic electrocardiograph reading capabilities, communication, and his or her referral patterns with subspecialists. With an understanding of the basic principles of exercise testing, with proper supervision or consultation, and with proper selection of patients, most clinicians can enjoy exercise testing safely.
运动试验是评估胸痛患者、诊断和管理冠状动脉疾病、确定已知冠心病患者的预后、确定运动能力、评估运动诱发的心律失常、验证运动安全性以及制定个性化运动处方的有效方法。通过临床医生的适当培训和患者的精心挑选，运动试验是一种安全的程序（每10000例病例并发症少于1例）。在办公室进行运动试验可提高临床医生的基本心电图解读能力、沟通能力以及与专科医生的转诊模式。了解运动试验的基本原理、进行适当的监督或咨询以及正确选择患者后，大多数临床医生都可以安全地进行运动试验。
