Arrhythmias and symptoms during treadmill testing three weeks after myocardial infarction in 100 patients.
Arrhythmias and symptoms during treadmill testing three weeks after myocardial infarction in 100 patients.
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100 名患者心肌梗死后三周进行跑步机测试时的心律失常和症状。
DOI：
10.1136/hrt.35.8.787
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发表时间：
1973
影响因子：
--
通讯作者：
U. Volpe
中科院分区：
文献类型：
--
作者：
M. Ericsson;A. Granath;P. Ohlsen;T. Södermark;U. Volpe
对000例心肌梗死患者在急性发作开始后3周进行平板运动试验和连续心电图记录。3例患者在试验前即刻静息时记录室性早搏，在试验期间和/或试验后I9记录室性早搏。该测试导致16名患者的治疗改变。试验未诱导严重心律失常或再梗死。20例患者发生心绞痛。急性期有心律失常者室性早搏发生率（O 1/37）高于无心律失常者（7/55）。该差异在统计学上不显著。活动平板试验被证明是一个敏感的方法，以证明在最近的梗死患者心律失常的倾向。它允许观察病人在运动过程中类似于在康复过程中进行。
Treadmill tests with continuous electrocardiographic recording were carried out 3 weeks after the acute episode began on 0OO patients with myocardial infarction. Ventricular premature beats were recorded in 3 patients at rest immediately before the test, and in I9 during and/or after the test. The test led to a change of treatment for i6 patients. No severe arrhythmias or reinfarctions were induced by the test. Twenty patients developed angina pectoris. The incidence of ventricular premature beats during the test was higher in the patients with arrhythmia during the acute phase (O1/37) than in those without (7/55). This difference is not statistically significant. The treadmill test proved to be a sensitive method for demonstrating a tendency to arrhythmia in patients with recent infarction. It permits observation of the patient during exercise similar to that performed during rehabilitation.