結束性心不全患者の症状限定運動テストの段階的安全性
F E Tristani1, C V Hughes, D G Archibald
1Department of Medicine and Physiology, Veterans Administration Medical Center, Milwaukee, WI 53295.
Circulation
|December 1, 1987
まとめ
心不全の安定した男性患者は,症状に制限された自転車運動を安全に行うことができます. 歩行用心電図モニタリングは,この集団における心房不律の評価のために,運動検査よりも優れている.
科学分野:
- 心臓病学 心臓病学
- 運動生理学 運動生理学
背景:
- 閉塞性心不全 (CHF) 患者には,運動不耐症と不律症がしばしばあります.
- 運動の安全性とエンドポイントの評価は,CHFの管理に不可欠です.
研究 の 目的:
- 心臓発作の患者における症状限定自転車運動の安全性とエンドポイントを評価する.
- 静脈動脈不調を検出するために,運動テストと外来心電図モニタリングを比較する.
主な方法:
- CHFの安定した男性患者607人が,症状制限の自転車運動テストを受けた.
- 運動前,運動中,運動後の心室不律を評価するために,外出式心電図モニタリングを使用した.
主要な成果:
- 運動テストは安全で,合併症はほとんどなかった (1.6%が不律性で停止し,1人が低血圧で停止した).
- 静脈性短心症の罹患率は,運動中に5.7%,全体的なモニタリング期間中に28.8%であった.
- 健診モニタリングでは,運動テストのみよりも,心房不律症の有病率が高いことが判明しました.
結論:
- 症状に制限された自転車の運動は,監視された環境でCHFの安定した男性患者にとって安全です.
- 歩行用心電図モニタリングは,運動テストと比較して,CHF患者の心室不律を評価するためのより効果的な方法です.
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