运动试验致晕厥原因分析

Cause and characteristic of syncope occurred in exercise test

目的:探讨运动晕厥的原因,特点。方法:回顾性分析本组13例运动试验发生晕厥的资料。结果:4例发生晕厥时的运动量是极量,9例是亚极量,11例为血管迷走神经性晕倒,2例发生运动中,出现室性心动过速,为心源性。结论:为减少运动试验的晕厥及其严重后果,应严格掌握运动试验禁忌证,对病人宜采用亚极量运动,严密血压心电图监护,并作好急救准备。

Objective： To explore the cause and characteristic of syncope occurred in exercise test. Methods： Retrospectively analyzed the data of 13 cases with syncope occurred in exercise test. Results ： The exercise capacity complicated syncope was maximal in 4 patients and submaximal in 9 patients. The syncope occurred in exercise was two cases, in which there was ventricular tachycardia, its cause was cardiac. The syncope of 11 cases was neurocardiogenic syncope. Conclusion： For decrease syncope occurred in exercise test, must strictly handling exercise indication, contraindication; the submaximal exercise capacity is suitable in patient;must exactly monitor blood pressure, electrocardiography and to prepare emergency treatment.