摘要
目的探讨平板运动试验对冠脉支架植入术疗效的评价。方法选择2007~2008年冠脉支架植入术前1周、术后1周6、~12个月内均行平板运动试验的患者86例,评价冠脉支架植入术的疗效。结果 86例进行冠脉支架植入术的患者中,术前平板运动试验阳性63例,阴性23例;术后1周及6~12个月平板运动试验阳性分别为101、5例,阴性分别为76、71例,术后与术前相比均有非常显著性差异(p<0.01),总运动代谢当量和运动开始至达到阳性诊断标准的时间较术前增加(p<0.05)。对术后15例平板运动试验阳性者行冠状动脉造影检查,10例出现支架内再狭窄。结论平板运动试验可以用于评价冠状动脉内支架植入术的疗效。
Objective To evaluate the value of treadmill exercise test(TET) in intracoronary stenting.Methods Eighty six patients,who underwent TET 1 week before,after or 6~12 months after intracoronary stent-ing in 2007~2008,were chosen.Results In the 86 patients,63 cases were positive and 23 cases were negative in TET before intracoronary stenting;10 cases were positive and 76 cases were negative in TET 1 week after intracoronary stenting.15 cases were positive and 71 cases were negative in TET 6~12 months after intracoro-nary stenting and there were significant differences compared with those 1 week before intracoronary stenting(p0.01).Treadmill exercise duration from the start to positive diagnostic standard and total exercise metabolic equivalent were significantly increased after intervention treatment(p0.05).Coronary angiography examination was performed to 15 positive patients in TET,and coronary restenosis appeared in 10 cases.Conclusion TET can be used to evaluate the effectiveness of intracoronary stenting.
出处
《临床心电学杂志》
2010年第4期255-256,共2页
Journal of Clinical Electrocardiology