《中国康复理论与实践》

《中国康复理论与实践》 ›› 2001, Vol. 7 ›› Issue (03): 133-134.

• 临床康复 • 上一篇    下一篇

急性心肌梗死后运动试验的应用

张蕴忱; 朱颖; 徐知非   

  1. 北京博爱医院功能检查科 北京市 100077
  • 收稿日期:2000-12-05 出版日期:2001-09-25 发布日期:2001-09-25

Application of exercise stress test after acute myocardial infarction

ZHANG Yun-chen,ZHU Ying,XU Zhi-fei   

  1. China Rehabilitation Research Center,Beijing 100077,China
  • Received:2000-12-05 Published:2001-09-25 Online:2001-09-25

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摘要： 目的探讨活动平板运动试验对急性心肌梗死 (AMI)患者的应用价值。方法对 32例AMI患者分别于发病后16天—8周采用Bruce方案做活动平板运动试验 ,同时测定心功能容量。结果 32例中运动试验阳性者17例 ,心功能容量1.5— 7METs;阴性者15例,心功能容量4—12METs。结论①只要适应证选择好 ,AMI后2—3周做次极量运动试验是安全的;②心功能容量测定有助于指导康复训练;③运动试验对判断预后有重要价值

关键词: 急性心肌梗死, 运动试验, 心功能容量

Abstract: ObjectiveTo investigate application of exercise stress test after acute myocardial infarction(AMI). Methods32 patients with AMI performed exercise stress test adopted the Bruce protocol in 16 days-8weeks after onset, at the same time cardiac functional capacity was measured.ResultsThe stress test was positive in 17 cases, whose cardiac functional capacity was 1.5-7 METs,and it was negative in 15 cases, whose cardiac functional capacity is 4-12 METs.Conclusions①Second class amount limited exercise stress test is safe to adaptive AMI patients. ②Cardiac functional capacity measurement is benefit to instruct patient rehabilitation exercise. ③Exercise stress test is valuable to estimate prognosis of AMI.

Key words: acute myocardiac infarction, exercise stress test, cardiac functional capacity