摘要
目的观察成功冠状动脉(冠脉)血运重建对冠心病患者心率恢复(heart rate recovery,HRR)的影响,探索冠脉血运重建效果无创性评价途径。方法纳入稳定型心绞痛(SAP)并行PCI术患者34例为试验组,同期冠脉造影正常者34例为对照组,均为男性。试验组患者术前3日及术后1周行平板运动试验,对照组冠脉造影前3日行平板运动试验,均采用次极量标准Bruce方案,评价峰心率及峰心率后心率恢复情况。结果与对照组相比,试验组患者术前峰心率和HRR均显著降低,PCI术后则显著增加。结论 HRR可作为评价PCI手术疗效的有效途径。
Objective recovery(HRR) in patients with coronary heart disease,and explore the noninvasive method for reviewing effect of revascularization.Methods The patients(n=34) with stable angina pectoris(SAP) after percutaneous coronary intervention(PCI) were selected as experimental group,and other 34 patients with normal results of coronary angiography(CAG) were selected as control group(all patients were male).The experimental group was given treadmill exercise test(TET) 3 days before and one week after PCI and control group was given TET 3 days before CAG.The peak heart rate(HR) and HR recovery after peak HR were reviewed by applying submaximal Bruce ' s protocol.Results The peak HR and HRR before PCI decreased significantly,and increased significantly after PCI in experimental group compared with control group.Conclusion HRR can be taken as a effective method for reviewing the curative effect of PCI.
出处
《中国循证心血管医学杂志》
2013年第1期29-31,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
心率恢复
冠心病
血运重建
Heart rate recovery
Coronary heart disease
Revascularization