在患有充血性心力衰竭的患者中进行分级的症状限制性运动测试的安全性
F E Tristani1, C V Hughes, D G Archibald
1Department of Medicine and Physiology, Veterans Administration Medical Center, Milwaukee, WI 53295.
患有充血性心力衰竭的稳定男性患者可以安全地进行症状有限的自行车运动. 门诊心电图监测优于运动测试,用于评估这群人群中的心室失律.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
背景情况:
- 充血性心力衰竭 (CHF) 患者经常有运动不耐受和心律失常.
- 评估运动安全性和终点对于管理CHF至关重要.
研究的目的:
- 评估心血管衰竭患者分级症状限制自行车运动的安全性和终点.
- 为了比较运动测试与门诊心电图监测,以检测心室心律不整.
主要方法:
- 607名患有心血管衰竭的稳定男性患者接受了限症状的自行车运动测试.
- 健行心电图监测用于评估运动前,运动期间和运动后的腹腔心律不整.
主要成果:
- 运动测试是安全的,并发症最小 (1.6%因心律不整而停止,1名患者因低血压而停止).
- 静脉动心率在运动期间为5.7%,在整个监测期间为28.8%.
- 门诊监测发现心室节律失常的患病率高于单独的运动测试.
结论:
- 在监督的环境中,症状有限的自行车运动对于稳定的男性患者是安全的.
- 门诊心电图监测是比运动测试更有效的方法来评估CHF患者的心室节律失常.
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