平板运动试验对早期复极综合征的诊断意义  

Role of Treadmill Exercise Test in the Diagnosis of the Early Repolarization Syndrome

作　　者：王秀琼[1,2] 杨惠琼[1,2] 宋其航[1,2] 雷红[1,2] 

机构地区：[1]昆明医学院附属昆华医院 [2]云南省第一人民医院心内科,云南昆明650031

出　　处：《昆明医学院学报》2012年第1期112-114,共3页Journal of Kunming Medical College

摘　　要：目的探讨平板运动试验对早期复极综合征的诊断意义.方法对36例心电图呈早期复极改变者行平板运动试验.结果 36例受检者均于运动后心率增快ST段回落,早期复极心电图特征消失,其中35例ST段回落至基线水平,1例回落至基线水平下0.12 mV,且胸痛发作,36例休息后ST段又逐渐恢复早期复极心电图表现.结论早期复极综合征的心电图特征性的ST段抬高具有慢频率依赖性,平板试验不仅能对早期复极综合征患者做出诊断及鉴别诊断,也不漏诊早期复极综合征合并冠心病.Objective To determine the role of treadmill exercise test in the diagnosis of the Early Repolarization Syndrome （ERS）. Method Total 36 patients with characteristics of ERS in electrocardiography were employed to perform the treadmill exercise test. Results Faster heart beating and up-lifting ST wave falling to normal level were observed in 35 patients and down-lifting of ST wave 0.12mV below the baseline and occurrence of chest pain was observed in 1 patient. The feature in electrocardiography of ERS appeared gradually in all 36 patients after a short rest. Conclusions The characteristics of up-lifting in ST wave appears to be dependent on lower frequency in ERS patients, and treadmill exercise test plays a role in diagnosis, especially avoiding missing diagnosis in ERS with coronary heart disease patient.

关 键 词：早期复极综合征 运动试验 诊断 

分 类 号：R541.7[医药卫生—心血管疾病]