AMI出院前活动平板心电图试验评估MIA、心功能、AT及预后的价值  

TO EVALUATE THE VALUE OF ACUTE MYOCARDIAL INFARCTION AREA,CARDIAC FUNCTION,ARRHYTHMIA,PROGNOSISWITH PREDISCHARGE TREADMILL EXERCISE TEST

作　　者：黄贵南[1] 刘锦光[1] 马伟东[1] 施丽芳[1] 陈妙芳[1] 

机构地区：[1]广东省惠州市中心人民医院,惠州516001

出　　处：《中国现代医学杂志》2003年第18期90-91,共2页China Journal of Modern Medicine

基　　金：广东省惠州市科研基金项目惠市科字 ( 2 0 0 0 19)第 16号

摘　　要：目的 :探讨急性心肌梗死 (AMI)出院前活动平板心电图试验 (TET)评估AMI梗死面积 (MIA)、心功能、心律失常 (AT)和预后的价值。方法 :选择符合WHOAMI诊断 5 2患者 ,在出院前进行TET ,并分析TET后心电图变化。结果 :显示活动耐量 (ET)与TET的nQ≥ 5、QRSS≥ 5、V1ptf≤ - 0 .0 3、AT发生率负相关 ,r分别为 - 0 .981、- 0 .995、- 0 .978、- 0 .95 3。与心肌缺血 (MIC)无关 ,r =- 0 .5 2 4。结论 :认为AMI出院前TET的nQ≥ 5、QRSS≥ 5、Vlptf≤ - 0 .0 3、出现AT或TETET <3级指标对筛选高危患者 ,指导患者康复 ,评估患者预后有一定临床价值。Objective:To evaluate the value of acute myocardial infarction area (MIA),cardiac function,arrhythmia(AT),prognosis with predischarge treadmill exercise test (TET).Methods:Analyse the changes of electrocardiogram (ECG) by predischarge treadmill exercise test (TET) in 52 cases with AMI.Results:Exercise tolerance (ET) was negative correlation with nQ≥5,QRSS≥5,Vlptf≤-0.03,occurance of AT,r were -0.981,-0.995,-0.978 and -0.953.It was no correlation with Myocardial ischemia (MIC),r=-0.524.Conclusion:The nQ≥5,QRSS≥5,vlptf≤-0.03,occurance of AT,ET<3 were the indices for screening examination the high risk patients.Instructing patients rehabilitation,and Evaluating the linic value of prognosi.

关 键 词：急性心肌梗死 活动平板心电图试验 活动耐量 心律失常 

分 类 号：R542.22[医药卫生—心血管疾病]