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13例急性心肌梗塞患者,年龄58~70岁;前壁梗塞5例,下壁梗塞5例,前壁并下壁梗塞3例。3例行溶栓治疗,有1例发病时合并短暂Ⅲ°房室传导阻滞,溶栓后消失,其余患者无并发症,全组病例均进行心肌梗塞Ⅰ期康复治疗,于梗塞后9~28天行运动试验。13例中7例呈阳性结果,冠脉造影时呈单支或多支狭窄。5例行PTCA等冠脉成形术。6例运动试验阴性的患者依运动试验结果订出康复运动处方。急性心肌梗塞后无并发症患者早期运动试验既能鉴别高危患者,又可决定患者的出院后体力活动水平,应该成为无并发症的急性心肌梗塞患者的出院前的常规检查。
13 patients with acute myocardial infarction, aged 58 to 70 years; anterior wall infarction in 5 cases, inferior wall infarction in 5 cases, anterior wall and inferior wall infarction in 3 cases. 3 cases of thrombolytic therapy, 1 case of a combination of transient Ⅲ ° atrioventricular block, disappeared after thrombolysis, the remaining patients without complications, all patients were myocardial infarction Ⅰ rehabilitation, after 9 ~ 28 days of exercise test. Seven of the 13 patients showed positive results, with single or multiple stenosis at coronary angiography. 5 routine PTCA coronary angioplasty. Six patients with negative exercise tests set out rehabilitation exercise prescriptions based on the results of the exercise test. Early exercise tests in patients with no complications after acute myocardial infarction can identify both high-risk and post-discharge physical activity and should be a routine pre-discharge checkup for patients with uncomplicated AMI.