跑步机运动得分的预后价值在患有非特异性ST-T异常的症状患者中,在静止心电图上
J M Kwok1, T D Miller, T F Christian
1Department of Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn 55905, USA.
JAMA
|September 24, 1999
概括
杜克跑步机得分有效地对患有静止心电图ST-T异常的患者进行风险分层. 与正常心电图相比,患有这些异常的患者的预后更差,即使在类似的风险类别内.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 冠状动脉疾病的运动测试特异性因静止心电图上存在的ST-T异常而降低.
- 在患有ST-T异常的患者中,杜克跑步机得分的预后价值尚未先前评估.
研究的目的:
- 为了比较杜克跑步机得分的预后准确性.
- 为了评估它在患有非特异性ST-T异常的患者和正常休息心电图发现的患者中的有效性.
主要方法:
- 一个初始队列研究设计,随访7年.
- 包括经过炼测试的有症状的患者.
- 分析了整体死亡率和心脏病死亡率,按杜克跑步机得分风险组分层.
主要成果:
- 心脏病死亡的七年生存率为97% (低风险),92% (中等风险) 和76% (高风险).
- 与对照组相比,患有ST-T异常的患者的7年生存率较低 (94%与98%相比),高风险患者比例较高 (5%与2%相比).
- 在具有ST-T异常的高风险患者中观察到更糟糕的生存趋势.
结论:
- 杜克跑步机得分对于患有静止心电图ST-T异常患者的风险分层是有效的.
- 患有ST-T异常的患者在分类风险类别中表现出比正常休息心电图的患者更差的预后.
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