运动负荷试验对心律失常的影响
摘要
运动负荷试验可辅助诊断心律失常,并会对原有心律失常产生影响。运动诱发的心律失常主要与年龄相关,常见的是房性早搏和室性早搏。冠心病者运动诱发的室性心律失常提示有较重的心肌缺血、室壁运动异常、心功能不全、冠状动脉严重病变及多支病变。其预后意义尚不一致。对冠心病者运动诱发的房性心律失常的预后评价是中性的。运动负荷试验还可诱发心肌病患者的心律失常。
出处
《中国心脏起搏与心电生理杂志》
2006年第4期362-364,共3页
Chinese Journal of Cardiac Pacing and Electrophysiology
参考文献18
-
1Pitzalis MV,Mastropasqua F,Massari F,et al.Heart rate dependency of premature ventricular contractions.Correlation between electrocardiographic monitoring and exercise-related patterns[J].Eur Heart J,1997,18(10):1 642
-
2Mathew SM,Elliot AS,Jerome LF,et al.Prevalence and prognostic signficance of exercise-induced supraventricular tachycardia in apparently healthy volunteers[J].Am J Cardiol,1995,75:788
-
3O′Connor FC,Mayuga R,Arrington CT,et al.Do echocardiographic changes explain the age-associated increase in exercise-induced supraventricular arrhythmias[J]? Aging-(Milano),1997,9(1-2):120
-
4Partington S,Myers J,Cho S,et al.Prevalence and prognostic value of exercise-induced ventricular arrhythmias[J].Am Heart J,2003,145(1):139
-
5Ali MM,Jane CE,Daniel L,et al.Clinical correlates and prognostic significance of exercise-induced ventricular premature beats in the community[J].Circulation,2004,109(20):2 417
-
6Claessens P,Claessens C,Claessens M,et al.Ventricular premature beats in triathletes:Still a physiological phenomenon[J]? Cardiology,1999,92(1):28
-
7Romano M,Scarpato P,Cardei S,et al.Incidence and complexity of ventricular ectopy during Holter monitoring in patients with exercise-induced myocardial ischemia and normal or mildly reduced left ventricular function[J].Minerva-Cardioangiol,1995,43(6):23
-
8Elhendy A,Sozzi FB,Van-Domburg RT,et al.Relation between exercise-induced ventricular arrhythmias and myocardial perfusion abnormalities in patients with intermediate pretest probability of coronary artery disease[J].Eur J Nucl Med,2000,27(3):327
-
9Parthenakis F,Kochiadakis G,Simantirakis E,et al.Incidence of ventricular arrhythmias during silent myocardial ischaemia in coronary artery disease[J].Int J Cardiol,1996,57(1):61
-
10Senaratne MP,Smith G,Gulamhusein SS.Feasibility and safety of early exercise testing using the Bruce protocol after acute myocardial infarction[J].J Am Coll Cardiol,2000,35(5):1 212
-
1白雪洋,李凌,赵晓燕,陈雅丽.踝臂指数与冠状动脉病变程度的关系[J].中国实用医刊,2009,36(5):25-27.
-
2欧书林,徐勇,石亚君,王晶,刘峻松,王昌.血清同型半胱氨酸及踝臂指数水平与冠心病病变程度的相关性研究[J].中国医药导报,2013,10(10):50-52. 被引量：7
-
3王昆,胡大一,杨进刚,李田昌,韩雅蕾,逯春鹏.踝臂指数与冠状动脉病变严重程度的相关性分析[J].临床荟萃,2005,20(24):1393-1395. 被引量：17
-
4孙运,于力,王瑞敏,孙俊华,赵育洁.脑心通联合氯吡格雷治疗冠状动脉严重病变的临床观察[J].中国实用医药,2009,4(7):155-156. 被引量：1
-
5公英子,张明宇,金恩泽,李学奇,曹绍东,林鹏.结节性多动脉炎致冠状动脉严重病变一例报告[J].中国介入心脏病学杂志,2010,18(3):164-165.
-
6干艳捷,何琼,王家宁.肱-踝脉搏波传导速度与踝臂指数对冠状动脉病变程度的诊断价值[J].山西医药杂志,2015,44(11):1228-1230. 被引量：1
-
7陈瑞阳,杜大勇.踝臂指数对冠状动脉病变狭窄程度的预测价值[J].实用临床医药杂志,2010,14(2):53-54. 被引量：2
-
8曲娜,刘晓方,王淑霞.踝臂指数对冠状动脉病变狭窄程度的预测价值[J].宁夏医学杂志,2007,29(4):299-300.
-
9陈晓瑞,尚东丽.老年冠心病患者经皮冠状动脉腔内成形术疗效分析[J].中国医师杂志,2006,8(4):502-503.
-
10周卿,陈天适,刘晓红,汤晓黎,王飞,李月华,陈书艳.阿托伐他汀对老年冠状动脉严重病变患者左心室功能的影响[J].中国医药,2010,5(1):1-4. 被引量：3
