心肺功能测定与冠心病的诊断和预后评价王宁夫课件.ppt

* 该工程施工按成都市施工现场标准化工地管理，工地以内的所有文明标准化用工材料转运，局部工程或主体完工后的周转材料应将分类分规格堆放整齐。 * 心肺功能测定与冠心病的诊断和预后评价 南京医科大学附属杭州医院心内科 王宁夫 Cardiopulmonary Exercise Test And CAD 心肺运动试验与心电图运动试验对比 European Heart Journal 2003 Volume 24, Number 14 P0.0001 P0.0001 0 10 20 30 40 50 60 70 80 90 特异性% 敏感性% 心肺运动试验 心电图运动试验 Detection of exercise induced ischaemia:a new role for CEPT The prognostic and diagnostic value of the exercise test is maximized, when multiple exercise findings are considered and it seems, that respiratory gas analysis offers new perspectives in this sense. Cardiologists should realise that with CPET we have an enormously powerful tool to our disposal. European Heart Journal 2003 Volume 24, Number 14 EditorialThe predictive value of cardiorespiratory fitness Franz X. Kleber* Charité Medical School, Ukb Academic Teaching Hospital, Berlin, Germany, EHJ 2004 25: 1428-1437. [Abstract] [Full Text]  Furthermore, peak oxygen consumption is a more accurate and reproducible measure and has been shown to be an excellent predictor of outcome in various diseases. Recently, large scale investigations of exercise capacity derived from peak cardiorespiratory exercise data have been used to study the relationship between VO2max and risk of cardiac and all cause death and in heart failure cardiopulmonary exercise test results have been established as outstanding prognostic information. 心肺运动试验(CPET)定义 CPET可提供一个包括呼吸系统，心血管系统，造血系统以及骨骼肌系统综合运动反应的整体评估，这是测定单一器官系统功能所无法充分反应的。该试验具有无创、动态、生理性的特点。 慢性心力衰竭心预后的评估 目前最常用的是Weber-Janicki 分级 Peak oxygen pulse during exercise as a predictor for coronary heart disease and all cause death Heart 2006;92:1219-1224  Objective: To investigate the prognostic value of peak oxygen pulse and VO2 with respect to coronary heart disease and overall death. Design: Prospective population-based study based on 1596 men without CHD or the use of ? blockers at baseline. During an average follow up of 14 years, 267 men died, 67 of them due to CHD. The respective risk for