摘要
平板运动试验的方案有许多、选用合适的方案对于试验很重要。本文报告了对146例被检者应用NCVC方案的体会,被检者男性93例、女性53例,39岁以下28例、40岁至59岁70例、60岁以上者48例。检查原因为评估心肌梗塞后状态、心绞痛、心律失常及心功能等。NCVC方案可因年龄、心功能和心绞痛的级别分成三个亚方案进行。老年人运动中收缩压比中青年高且升幅大,老年人中,心功能减退及冠心病患者也多,因此作者等给老年人做运动试验时,特别重视血液动力学的变化、较勤地测量血压。作者认为NCVC方案设计合理、操作容易、安全灵活、适合东方人种、能满足临床的各种要求。
There are many protocols for cardiac stress testing.To select an appropriate pro-tocol is important for this work,The authors adopted NCVC protocol to examine 146individuals ,of them one third are over 60 years old. The reasons for examinationwere evaluation of post-myocardial infarction status, angina pectoris, arrhythmiasand cardiac function, etc. NCVC protocol could be flexibly divided into 3 subproto-cols according to the age,cardiac function and severity of angina of the individuals.The increase of systolic blood pressure is higher and steeper in the old than that inthe young and middle aged persons.Because the morbidity of coronary heart diseaseis also higher in the old ,the authors paied much attention to the hemodynamic chan-ges of the old during exercise stress testing.The authors ’experiences suggest that thedesign of NCVC protocol would be reasonable and its operation would be relativelysimple and flexible.This protocol is suitable for oriental people and meet variousclinical requirements.
出处
《上海医学》
CAS
CSCD
北大核心
1995年第4期187-191,共5页
Shanghai Medical Journal