心脏康复评定.pptVIP

Exercise-Induced ST-Segment Elevation in the Setting of Prior Inferolateral MI 第63页，共92页，2022年，5月20日，18点51分，星期三 Exercise-Induced Anterior ST-Segment Elevation as Reflection of LAD Ischemia 第64页，共92页，2022年，5月20日，18点51分，星期三 Indications for Exercise Testing in the Diagnosis of Obstructive Coronary Disease CLASS I: Adult patients (including those with RBBB or less than 1 mm or resting ST-depression) with an intermediate pretest probability of CAD, based on gender, age, and symptoms CLASS IIa: Patients with vasospastic angina CLASS IIb: Patients with a high pretest probability of CAD by age, symptoms, and gender Patients with a low pretest probability of CAD by age, symptoms, and gender Patients with less than 1 mm of baseline ST depression and taking digoxin Patients with ECG criteria of LVH and less than 1 mm St-depression 第65页，共92页，2022年，5月20日，18点51分，星期三 To Determine the Status of the Cardiovascular System observation of a decrease in systolic and diastolic blood pressure without a subsequent increase in heart rate when changing body position from supine to standing is considered a positive sign for autonomic nervous system dysfunction. . 第31页，共92页，2022年，5月20日，18点51分，星期三 To Determine theHealth of the Cardiovascular System A cardiovascular system that responds rapidly to body position change is likely in a better state of health than a cardiovascular system that responds sluggishly. Both an unchanged or decreased heart rate after standing for 30 seconds (compared to the heart rate at 15 seconds) is suggestive of autonomic dysfunction. 第32页，共92页，2022年，5月20日，18点51分，星期三 a sluggish or hypoadaptive (less than normal) heart rate and blood pressure response during a change in body position supine to standing should be considered abnormal and suggestive of an unhealthy cardiovascular system. 第33页，共92页，2022年，5月20日，18点51分，星期三 a more adaptive rapid increase in heart rate and blood pressure after moving from a supine to standing position (approximately 30 seconds) is likely