THE SAFETY OF MAXIMAL EXERCISE TESTING
THE SAFETY OF MAXIMAL EXERCISE TESTING
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DOI：
10.1161/01.cir.80.4.846
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发表时间：
1989-10-01
期刊：
影响因子：
37.8
通讯作者：
COOPER, K
中科院分区：
文献类型：
--
作者：
GIBBONS, L;BLAIR, SN;COOPER, K
以前关于运动测试安全性的报告是基于对不同测试机构的调查，这些机构具有各种测试协议和患者类型。从1971年到1987年，在同一医疗机构的统一条件下，在已知冠心病患病率较低的人群中进行了71，914次最大运动试验，导致6例主要心脏并发症，包括1例死亡。在过去的10年中，在45，000次最大测试中没有发生并发症。男性和女性的总体心脏并发症发生率为每10，000次检查0.8例并发症，95%置信区间为每10，000次检查0.3-1.9例并发症。最大运动量测试似乎比以前发表的一些报告所建议的更安全，并且随着时间的推移似乎越来越安全。
Previous reports on the safety of exercise testing have been based on surveys from different testing facilities with a variety of testing protocols and patient types. From 1971 through 1987, 71,914 maximal exercise tests conducted in a population with a low prevalence of known coronary heart disease under uniform conditions at a single medical facility resulted in six major cardiac complications including one death. No complications have occurred in the past 10 years in 45,000 maximal tests. The overall cardiac complication rate in men and women is 0.8 complications per 10,000 tests with 95% confidence intervals of 0.3-1.9 complications per 10,000 tests. Maximal exercise testing appears safer than some previously published reports have suggested and seems to be getting safer with time.