急性心肌梗死后运动试验应用.pdfVIP

21 First and Century Japan-ChlnaAcadem——icSymposium A——n—n—ualA—c—ad—e—micSemina—r—of o．．f．．—R—ehabilitation——Me—d—i—c—ine C．．．．R．．．—R—C ·临床康复· 急性心肌梗死后运动试验的应用 张蕴忱朱颖徐知非 CII；京博爱医院功能检查科．北京市100077) [摘要] METs；阴性者15例，心功能容量4—12 METs．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；o心功 能容量测定有助于指导康复训练}@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 ofexercisestresstestafter Application acutemyocardialInfarction Research 100077，China Center，Beijing CAbst礴ct]objectIYeTo ofexercisestresstestafteracute investigateapplication myocardial 32pa． with t／ents AMI exercisestresstest theBruce in16 after thesametime performed adopted protocoldays--Sweeksonset．at cardiac functionalwasmeasured．ResultsThestresstestwB5 in17 cardiacfunctionalwas capacity positivecases，whose 1．5—7 capacity METs，anditwas in15cases．whosecardiacfunctionalis4—12 negative capacity METs．Conclusions①Secondclassamountlimited exercisestrcsatestis5deto AMI functional adaptivepatient．②Cardiae measurementisbenefittoinstruct rehabili- capacity patient cation stresstesti5valuabletoestimate exercise．@Exercise ofAMI． prognosis infarction；exercisestress cardiacfunctional [Keyword,]acutemyocardiac testI capacity 急性心肌梗死(AMI)患者早期运动试验在国外已系统，按规定安放电极，首先确定等电位点和ST段测 开展40年。1961年，Cain等在AMI后早期进行分级量点，然后描记静息立