在非心脏手术之前进行手术前的压力测试.
Olga Dzhioeva1, Marijana Tadic2, Evgeny Belyavskiy3
1Department of Therapy and Preventive Medicine, Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, 127473 Moscow, Russia.
Reviews in cardiovascular medicine
|July 30, 2024
概括
手术前的运动测试有助于在非心脏手术之前预测心血管风险. 虽然运动心电图不太常见,但六分钟步行测试和心肺检测对于评估患者的风险和指导恢复是有价值的.
科学领域:
- 心脏病学 心脏病学
- 术前医学 术前医学
- 手术风险评估手术风险评估
背景情况:
- 目前的指导方针提供了非心脏外科手术前手术运动测试的总结.
- 专家在确定患有术后并发症风险的患者的方法上缺乏共识.
- 许多研究探讨了手术前运动压力测试对预测心血管风险的影响.
研究的目的:
- 审查各种手术前运动测试在预测外科手术后并发症方面的有用性.
- 讨论运动心电图 (ECG) 的不断变化的作用和成像技术的兴起.
- 突出6分钟步行测试 (6MWT) 和心肺运动测试在风险分层中的重要性.
主要方法:
- 关于手术前运动压力测试的出版文献的综述.
- 传统运动心电图与较新的成像方式的比较.
- 评估六分钟步行测试 (6MWT) 和心肺检测,以评估风险.
主要成果:
- 运动心电图在术后心脏风险预测中的作用随着成像技术的兴起而减少.
- 六分钟步行测试 (6MWT) 是一个有用的工具,用于术前评估和术后康复.
- 心肺运动测试有效地评估心肺状态并分层风险因素.
结论:
- 需要对缺血性压力测试进行进一步的研究,特别是腹筋压力测试,以评估外科手术期间的风险.
- 在高风险手术之前,对心脏病患者,特别是那些患有并发病的人进行这些测试是必不可少的.
- 目前关于使用特定的缺血性压力测试来预测外科风险的数据是不够的.
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