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在1986年,运动试验大多用于估计缺血性心脏病的预后,或估价抗心绞痛疗法或血管重建术的疗效,证实和判定心律失常,以及对胸痛患者的评价.运动试验是一项诊断缺血性心脏病的常规技术.本文讨论慢性缺血性心脏病患者进行运动试验的临床适应证.诊断考虑历史:早在1928年,Feil等推测慢性稳定型心绞痛患者运动引起ST段压低是由于冠状动脉血流量减少所致.1941年,Master等撰文评价运动后心电图检出冠状动脉供血不足的价值.其标准为:(1)RS-T段压低≥
In 1986, exercise tests were mostly used to assess the prognosis of ischemic heart disease, or to evaluate the efficacy of anti-anginal therapy or revascularization, to confirm and determine arrhythmias, and to evaluate patients with chest pain. This article discusses the clinical indications for exercise testing in patients with chronic ischemic heart disease. History of Diagnosis Considerations As early as 1928, Feil et al. Hypothesized that exercise-induced ST-segment depression in patients with chronic stable angina was due to coronary In 1941, Master et al. Evaluated the value of ECG after coronary exercise in detecting coronary insufficiency, and its criteria were: (1) RS-T depression ≥