心脏分级运动试验评价扩张型心肌病患者心功能的临床应用  

Clinical Application of Cardiac Grade Exercise Testing for Evaluating the Cardiac Function in the Patients with Dilated Cardiopathy

作　　者：戴若竹[1] 颜如玉[1] 林荣[1] 林美华[1] 苏敬荣[1] 

机构地区：[1]福建省泉州市第一医院,泉州362002

出　　处：《中国康复》1998年第4期154-156,共3页Chinese Journal of Rehabilitation

摘　　要：对14例扩张型心肌病患者进行逐级增量的症状限制性踏车运动试验。结果：通过运动试验测定的心功能分级与传统的纽约心脏病学会（NYHA）心功能分级的符合率仅43％，在与静息超声心功能测定方面则呈中度相关（r＝0．49～0．63，P＜0．05～0．005）。提示无创性的踏车运动试验可作为评价扩张型心肌病心功能的一个客观指标，而且安全、可行。Bicycle ergonmeter with symptom-limited and grade stress test (GST) were performed on 14 cases of dilated cardiomyopathy (DCM) with congestive heart failure (CHF) of NYHA Ⅱ- Ⅳ. The results indicated that exercise tolerance could be predicted by the measurement of resting echocardiography (r=0. 49to 0. 63, P<0. 05 to 0. 005). The coincidence rate of cardiac function grade between classification of GST and NYHA was only 43%. It was suggested that GST was safe and feasible to DCM, and was an objective index for the evaluation of cardiac function in DCM.

关 键 词：扩张型心肌病 心肌病 踏车运动试验 心功能 

分 类 号：R542.204[医药卫生—心血管疾病] R540.47[医药卫生—内科学]