摘要
运动心电图试验中以ST段缺血型改变作为诊断冠心病的主要标准，其平均敏感性和特异性在70％左右，相对较低，而且易受药物、基础心电图、其他心脏病变的影响。研究表明，冠心病患者运动试验中收缩压反应异常，即运动时收缩压下降或异常升高，运动后恢复延迟或反常升高。
出处
《中国心血管病研究》
CAS
2004年第4期308-310,共3页
Chinese Journal of Cardiovascular Research
参考文献18
-
1[1]Amon KW, Richards KL, Crawford MH. Usefulness of systolic blood pressure in the disgnosis of coronary artery diseases[ J ]. Circulation, 1984,70: 951 - 956
-
2[2]Acanfora D, Caprio LD, Cuomo S, et al. Diagnostic value of the ratio of recovery systolic blood pressure to peak exercise systolic blood pressure for the detection of coronary artery disease [ J ]. Circulation, 1988,77:1306- 1310
-
3[3]Tsuda M, Hatano K, Hayashi H, et al. Dignostic value of postexercise systolic blood pressure response for detecting coronary artery disease in patients with or without hypertension [ J ]. Am Heart J, 1993, 125: 718 -7234
-
4[4]Taylor AJ, Beller GA. Postexercise systolic blood pressure response: clinical application to the assessment of ischemic heart disease[ J ]. Am Fam Physician, 1998,58(5) :1126- 1130
-
5[5]Mcham SA, Marwick TH, Pashkow FJ, et al. Delayed systolic blood pressure recovery after graded exercise:an independent correlate of angiographic coronary disease[ J ]. J Am Coll Cardiol, 1999,83(4): 754 - 759
-
6李崇信,王国英,宾建平,刘俭,赖世忠.运动试验收缩压恢复比异常与最大ST／HR斜率对冠心病诊断价值的探讨[J].实用医学杂志,1996,12(3):141-143. 被引量：2
-
7[7]Miyahara T, Yorota M, Lwase M, et al. Mechanism of abnormal postexercise systolic blood pressure response and its diagnostic value in patients with coronary heart disease[ J ]. Am Heart J, 1990,120:40 - 49
-
8[8]Hashimato M,Okamoto M, Yamagata M, et al. Abnormal postexercise systolic blood pressure response during exercise recovery in patients with angina pectoris[J ]. J Am Coll Cardiol, 1993,22: 659 - 664
-
9[9]Abe K, Tsuda M, Hayashi H, et al. Diagnostic usefulness of postexercise systolicblood pressure response for detection of coronary artery disease in patients with electrocardiographic left ventricular hypertrophy [J].Am J Cardiol, 1995,76(12): 892 - 895
-
10陆亚非,宋秀豹,陆利,陆振冈.运动试验收缩压恢复比对冠心病的诊断[J].临床心血管病杂志,2001,17(3):118-119. 被引量：8
二级参考文献18
-
1戴军,毛焕元,周本财,郭和平,梁丛俊,李明慧,陈子星.运动高血压及其生化因子的变化[J].中国循环杂志,1995,10(4):200-202. 被引量：8
-
2潘宜智 吾柏铭 等.血小板活化在运动所致心缺缺血中的临床意义[J].中华内科杂志,1994,33:106-108.
-
3[1]Taylor AJ,Beller GA. Postexercise systolic blood pressure response: Association with the presence and extent of perfusion abnormalities on thallium-201 scintigraphy[J]. Am Heart J1995,227: 234.
-
4[2]Ne ZS,Inoue S,Kawahara Y,et al. Clinical significance of abnormal postexercise systolic blood pressure response in patientss with hypertrophic cardiomyopathy[J]. J Cardiol 1996,27(2):65～71.
-
5[3]Hashimoto M,Okamoto M,Yamagata,et al. Abnormal systolic blood pressure response during exercise recovery in patients with angina pectoris[J]. J Am Coll Cardiol 1993,22:659～664.
-
6[4]Shaw LJ,Peterson ED,Kesler K,et al. A meta-analysis of predischarge risk stratification after acute myocardial infarction with stress electrocardiographic, myocardial perfusion, and ventricular function imaging[J]. Am J Cardiol 1996,78(12)1327～1337.
-
7[5]Mundal R,Kjeldsen SE,Sandvik L,et al. Exercise blood pressure predicts mortality from myocardial infarction [J]. Hypertens1996,27(part 1) :324～329.
-
8[1]Acanfroa.Diagnostic value of the ratio of recovery systolic blood pressure to peak exercise systolic blood pressure for the detection of coronary artery disease. Circulation,1988,77:1306-1307.
-
9[2]Miyahara T,Yokata M,Twase M,et al.Mechanism of abnormal post-exercise systolic blood pressure response and its diagnostic value in patients with coronary artery disease. Am Heart J,1990,120:40-42.
-
10戴军，中国循环杂志，1995年，10卷，200页
共引文献12
-
1沈毅,沈爱东,李虹伟,郑平渝,顾复生,李莉,沈潞华,马立永,赵淑艳.运动试验血流动力学反应异常辅助诊断冠心病[J].临床和实验医学杂志,2008,7(2):29-32. 被引量：5
-
2沈毅,沈爱东,李虹伟,郑平渝,顾复生,李莉,沈潞华,马立永,赵淑艳.心电图平板运动试验阳性患者运动后收缩压恢复延迟与冠状动脉病变程度相关性研究[J].心肺血管病杂志,2008,27(5):268-271. 被引量：4
-
3查春光,张永军,程陶玲,叶艇,徐尚银,徐舒.运动平板试验中收缩压异常反应的意义[J].临床心血管病杂志,2008,24(9):671-673. 被引量：1
-
4周季,王玮.运动性低血压对冠心病的诊断与评价[J].中国社区医师（医学专业）,2012,14(13):9-10. 被引量：2
-
5卢福建,赵群辉,李志红.心得安试验与运动试验在女性心脏病诊断中的意义[J].河南医药信息,2001,9(12):51-52.
-
6卢福建,赵群辉,李志红.278例妇女心脏运动负荷试验分析[J].河南医药信息,2001,9(11):31-31.
-
7罗秀锋.心脏运动负荷试验评价指标的研究进展[J].广西医学,2002,24(6):826-829. 被引量：1
-
8林楚容,范景如,陈墅,梁嘉,郭舜奇.平板运动试验恢复期收缩压异常升高辅助诊断冠心病的价值[J].广东医学,2015,36(11):1691-1694. 被引量：6
-
9何建桂,黄艺仪,孙冰,马虹,柳俊,张苗青,杜志民,胡承恒.运动试验中收缩压恢复比对女性患者诊断冠心病的价值[J].中国心血管杂志,2002,7(6):420-421. 被引量：1
-
10陈娟,李建军,陈芳,周纪宁,杨剑雪.活动平板运动试验收缩压恢复比对冠心病的诊断价值[J].医学新知,2002,12(4):184-184. 被引量：1
同被引文献3
-
1DAOUD E G,PITT A,ARMSTORNC W F,et al.Electrocardiographic response during dobutamine stress echocar diography[J].Am Heart J,1995,129:672-677.
-
2HASHIMATO M,OKAMOTO M,YAMAGATA M,et al.Abnormal poetexercise systolic blood pressure response durlng exercise recovery in patients with angina pectoris[J].J Am Coll Cardiol,1993,22:659-664.
-
3刘磊.心电图运动负荷试验不同指标对冠心病的诊断价值[J].国外医学（心血管疾病分册）,2002,29(1):21-23. 被引量：5
-
1赖世忠,李崇信,秦建新,许顶立,刘伊丽.运动试验收缩压恢复比异常对冠心病的诊断价值及其机理[J].第一军医大学学报,1993,13(2):100-104.
-
2何建桂,黄艺仪,孙冰,马虹,杜志民,胡承恒.运动后收缩压反应对左室肥厚合并冠心病的诊断价值[J].中国医师杂志,2002,4(5):463-465.
-
3姚健.急性心肌梗塞恢复期运动试验价值探讨[J].山西临床医药,1999,8(6):421-422. 被引量：1
-
4朱建中,惠杰,王国强.运动试验收缩压恢复比对冠心病的诊断价值研究[J].中国实用内科杂志,2006,26(10):1506-1507. 被引量：5
-
5周艳红,李乐之,谢霞,戴爱萍.1例先天性心脏病合并气道狭窄低体质量患儿的术后护理[J].中国实用护理杂志,2013,29(30):35-36. 被引量：1
-
6徐欣,郑义通,等.颈动脉超声对冠状动脉病变支数诊断价值的评价[J].中华综合医学,2002,3(6):499-501.
-
7朱顺和,张世华,王彬尧,励锦华,杜勇平,郑道声.急性心肌梗塞患者出院前的运动心电图试验[J].中华心血管病杂志,1997,25(4):274-276. 被引量：4
-
8杨曼.老年糖尿病临床主要症状及二甲双胍片治疗效果探讨[J].中国社区医师,2016,32(23):28-28. 被引量：1
-
9沈毅,沈爱东,李虹伟,郑平渝,顾复生,李莉,沈潞华,马立永,赵淑艳.心电图平板运动试验阳性患者运动后收缩压恢复延迟与冠状动脉病变程度相关性研究[J].心肺血管病杂志,2008,27(5):268-271. 被引量：4
-
10陈娟,李建军,李庚山,陈芳,王芳,周纪宁,杨剑雪.收缩压恢复比对冠心病的诊断价值[J].中国动脉硬化杂志,2003,11(1):60-62.
