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平板运动试验阳性者冠脉造影结果预警冠心病

Results of coronary angiography in patients with positive treadmill exercise test give early warning of coronary heart disease

来源期刊: 广州医药 | 28-31 发布时间:2021-11-28 收稿时间:2025/11/13 17:56:54 阅读量:25
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关键词:
平板运动试验阳性冠脉造影冠心病
Treadmill exercise testPositiveCoronary angiographyCoronary heart disease (CHD)
DOI:
10.3969/j.issn.1000-8535.2020.01.007
收稿时间:
2019-08-29 
修订日期:
 
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引用总数:
0  
目的 分析平板运动试验阳性患者行冠脉造影检查后结果阳性者与冠心病的高危因素的关联性,从而预警冠心病。方法 选取浙江大学医学院附属第二医院2016年3月—2019年3月行平板运动试验的阳性患者经冠脉造影结果为阳性,且资料完整者280例患者为研究对象,筛选出影响冠心病的独立危险因素。结果 性别、体质量指数(BMI)、高甘油三酯、平板恢复1、2 min心率是影响冠心病的独立危险因素。结论 对于男性、BMI>24、高甘油三酯、平板恢复1、2 min心率异常的患者,当其平板运动试验为阳性时,应建议其进一步行冠脉造影检查。
Objective To analyze the correlation between coronary angiography and the risk factors of coronary heart disease in patients with positive treadmill exercise test, so as to give early warning of coronary heart disease. Methods A total of 280 patients who underwent treadmill exercise tests from March 2016 to March 2019 in the Second Affiliated Hospital of Medical College of Zhejiang University were selected as the study subjects with positive coronary angiography results and complete data to screen out independent risk factors for coronary heart disease. Results Gender, body mass index, high triglycerides, high cholesterol, heart rate after 1 or 2 minutes of tablet recovery were the risk factors for positive coronary angiography. Conclusion For men, patients with BMI>24, high triglycerides, and abnormal heart rate after 1 or 2 minutes of tablet recovery, when the treadmill exercise test is positive, further coronary angiography should be recommended.
1、 GROSSMAN C,EHRLICH S,SHEMESH J,et al. Coronary artery calcium and eXercise electrocardiogram as predictors of coronary events in asymptomatic adults[J]. Am J Cardiol,2015,115(6):745-750. GROSSMAN C,EHRLICH S,SHEMESH J,et al. Coronary artery calcium and eXercise electrocardiogram as predictors of coronary events in asymptomatic adults[J]. Am J Cardiol,2015,115(6):745-750.
2、 何丽珍,平板运动试验心率恢复对冠心病预后评估的作用研究[J]. 临床科研分析,2017,12(33):1806-1807. 何丽珍,平板运动试验心率恢复对冠心病预后评估的作用研究[J]. 临床科研分析,2017,12(33):1806-1807.
3、 FABIAN V S, STEPHANIE M, JOHANNES K,et al. Heart rate response during treadmill exercise test in children and adolescents with congenital heart disease[J]. Front Pediatr,2019, 3(12):1-7. FABIAN V S, STEPHANIE M, JOHANNES K,et al. Heart rate response during treadmill exercise test in children and adolescents with congenital heart disease[J]. Front Pediatr,2019, 3(12):1-7.
4、 MORSHEDI-MEIBODI A,LARSON M G,LEVY D,et al. Heart rate recovery after treadmill exercise testing and risk of cardiovascular disease events(The Framingham Heart Study)[J]. Am J Cardiol,2002,90(8):848-852. MORSHEDI-MEIBODI A,LARSON M G,LEVY D,et al. Heart rate recovery after treadmill exercise testing and risk of cardiovascular disease events(The Framingham Heart Study)[J]. Am J Cardiol,2002,90(8):848-852.
5、 ISHIME E O,COLE C R,BLACKSTONE E H,et al. Heart rate recovery and treadmill exercise score as predictors of mortality In patients referred for exercise ECG[J]. JAMA,2000,284(11):1392-1398. ISHIME E O,COLE C R,BLACKSTONE E H,et al. Heart rate recovery and treadmill exercise score as predictors of mortality In patients referred for exercise ECG[J]. JAMA,2000,284(11):1392-1398.
6、 刘成国,林韩立,孙展杭,等,代谢综合征组分与心血管疾病的关系研究[J]. 心电与循环,2017,36(4):224-227. 刘成国,林韩立,孙展杭,等,代谢综合征组分与心血管疾病的关系研究[J]. 心电与循环,2017,36(4):224-227.
7、 GHAFFARI S, KAZEMI B, ALIAKBARZADEH P. Abnormal heart rate recovery after exercise predicts coronary artery disease severity[J]. Int J Cardiol,2011,18(1):47-54. GHAFFARI S, KAZEMI B, ALIAKBARZADEH P. Abnormal heart rate recovery after exercise predicts coronary artery disease severity[J]. Int J Cardiol,2011,18(1):47-54.
8、 RUBIN J B, BORDEN W B. Coronary heart disease in young adults[J]. Curr Atheroscler Rep, 2012, 14(2): 140-9. RUBIN J B, BORDEN W B. Coronary heart disease in young adults[J]. Curr Atheroscler Rep, 2012, 14(2): 140-9.
9、 黄丽敏,李榕生.心电图活动平板运动试验与冠状动脉造影结果对照分析[J]. 中华心律失常学杂志, 2001,6(3):164-166. 黄丽敏,李榕生.心电图活动平板运动试验与冠状动脉造影结果对照分析[J]. 中华心律失常学杂志, 2001,6(3):164-166.
10、 方丕华.阜外心电图运动试验[M]. 北京:人民卫生出版社,2009:49. 方丕华.阜外心电图运动试验[M]. 北京:人民卫生出版社,2009:49.
11、 李春雨,方丕华.运动试验检查—ACC/AHA运动试验最新指南[J]. 中国医疗器械信息,2011,17(2):1-9. 李春雨,方丕华.运动试验检查—ACC/AHA运动试验最新指南[J]. 中国医疗器械信息,2011,17(2):1-9.
12、 陈伟伟,高润霖,刘力生,等. 《中国心血管病报告2017》概要[J]. 中国循环杂志,2018,23(1):1-8. 陈伟伟,高润霖,刘力生,等. 《中国心血管病报告2017》概要[J]. 中国循环杂志,2018,23(1):1-8.
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