LIFE-THREATENING COMPLICATIONS IN 1741-106 ERGOMETRIES
LIFE-THREATENING COMPLICATIONS IN 1741-106 ERGOMETRIES
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DOI：
10.1055/s-2008-1069151
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发表时间：
1984-01-01
影响因子：
0.6
通讯作者：
KALTENBACH, M
中科院分区：
文献类型：
--
作者：
WENDT, T;SCHERER, D;KALTENBACH, M
在384938名运动员的运动试验中没有发生危及生命的并发症。在1356168例患者中，最常见的并发症是室颤（1：15000）。与仰卧位自行车测力计相比，台阶试验与纤颤减少2倍相关，与传统自行车测力计相比，台阶试验与纤颤减少4倍相关。肺水肿是一种典型的并发症，发生在29000例仰卧位自行车运动中。1950年至1977年（1：26000）的发病率是随后四年（1：92000）的3.5倍。1978年以前的致死性心肌梗死发生率为1：42 000，1978年以后为1：644 000。是唯一的死因。目前的数据显示，患者的1：9000测力计可能危及生命。考虑到目前的有利趋势，在有经验的研究者的条件下，预计风险为1：12000。在任何测力计中，必须有准备好使用的除颤设施。
No life-threatening complications occurred in exercise-testing in 384 938 athletes. Among 1 356 168 patients the most frequent complication was ventricular fibrillation (1: 15 000). The step test was associated with a two-fold diminution of fibrillations when compared to bicycle ergometry in the supine position and with a four-fold decrease when compared to conventional bicycle ergometry. Pulmonary oedema, a typical complication, occurred once in 29 000 bicycle ergometries in supine position. Infarctions were seen 3.5 times more frequently between 1950 and 1977 (1: 26 000) than in the following four years (1: 92 000). Fatal cardiac infarction occurred in 1: 42 000 before 1978 and in 1: 644 000 thereafter. It was the sole cause of death. Present data show a potentially life-threatening risk of 1: 9000 ergometries in patients. Considering the favourable trend at present, a risk of 1: 12 000 can be expected in conditions of an experienced investigator. Defibrillation facilities ready for use must be available in any ergometry.