踏车运动试验检出无症状心肌缺血中青年患者的临床后果

Utcome Of Young And Middle Aged PatientsWith Asymptomatic myocardial lschemiaDeeected By Ergometer Test

对１５例运动试验阳性不伴有胸病的中青年男性患者进行了２４个月的随访观察。结果４例心肌缺血加重。１例转为阴性。３例可疑阳性，２例发生急性心肌梗死，２例出现典型的劳累性心绞痛，２例发生猝死，１例无变化。提示中青年运动诱发无症状心肌缺血，也有较高的猝死危险性。

IS young and middle aged symptomless male patients with positive er-gometer tests were followed up for 24 months in this study. Among the 15 patients therewere,2 sudden deaths, 2 AMI,2 typical exertional angina,4 with deteriorated myoardialischemia,3 doubtful positive exercise tests and negative exercise tesst. The results sug-gest that young or middle aged persons who proved to have asymptomatic myocardial is-chemia indeced by exercise were also in danger of sudden death.