摘要
目的：研究急性心肌梗塞（AMI）患者平板运动试验的评定心功能、指导康复作用。方法：16例AMI病人（平均56．5岁）在发病4周后按照Bruce方案进行症状限止平板运动试验。结果：VO2max3～12（平均7．3±3．8）METs；HRmax106～186（平均152．7±29．7）次／分；运动试验阳性12例．其中ST段下移、VO2max＜4METs者6例（50％）；ST段抬高、VO2max＜4METs者5例（31．2％）；没有1例发生意外。结论：AMI病人的运动试验对评定心功能、指导康复有较大临床意义；只要掌握适应证、禁忌证，运动中严密监护．AMI病人运动试验是安全的。
Objective: To investigate value of exercise testing (ET) for acute myocardial infarction (AMI). Methods: The symptom-limited treadmill exercise testing performed in 16 patients (average 56.5 years) with AMI after 4 weeks according to Bruce protocol. Results: VO2max 3~ 12 (average 7. 3±3. 8) METs ； HRmax 106-186 (152. 7±29. 7) beats/min, duration time 3 minutes and 59 seconds ～19 minutes and 49 seconds (10. 00±5. 10minutes) ; There are 6 patients (50%) with ST depression and VO2max <4METs, 5 patients (31. 2% ) with ST elevation and VO2max <4METs ; 12 patients (75%) were of positive test result. There was no serious complication in ET course, Conclusion: The results suggest ET possesses more signification for assessing heart function and instruct rehabilitative exercise in patient with AMI.author's address: Department of Cardiology. First Affiliated Hospital, Kunming Medical College. Kunming. 650032
出处
《心血管康复医学杂志》
CAS
1998年第2期28-30,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
