在溶栓时代以前,运动试验对梗塞后患者有预后意义。近10年来采用新的溶栓疗法,使得急性心肌梗塞的治疗发生了改变,但对运动试验的价值却提出了疑问。根据GISSI~-2数据库,重新评价运动试验对溶栓治疗后患者的预后价值。 6296例患者在随机入选后平均28天进行运动试验,另3923例因禁忌证未进行该试验。 Prior to the thrombolytic era, exercise testing had prognostic implications for post-infarction patients. The introduction of new thrombolytic therapy in the last 10 years has changed the treatment of acute myocardial infarction but has raised questions about the value of exercise testing. Based on the GISSI ~ -2 database, the prognostic value of exercise testing on patients after thrombolysis was reassessed. An average of 6296 patients were tested for exercise on an average of 28 days after random enrollment, and another 3923 were not tested for contraindications.