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作者用Holter监测无症状性心肌缺血,并估价其治疗和预后意义.方法:甲组100(男68,女32)例均无高血压和心脏病症状,且12导联心电图正常.20～50岁的患者80例,其中40岁以上者作运动试验,均为阴性.20例>50岁的不典型胸痛者,行冠状动脉造影,均未见异常.所有受试者均进行24小时Holter监测,同时观察体位和心算的影响.乙组30(男21,女9)例,年龄37～77岁,均有典型心绞痛,过去6月内每周至少发作5次,且运动试验阳性.各例均进行心电图运动试验,接着连续4天进行Holter监测以观察ST段变化.在以后18月内,其中20例各进行运动试验及48小时Holter监测4～18(中位数8)次;22例尚用正电子发
The author used Holter to monitor asymptomatic myocardial ischemia, and evaluated its therapeutic and prognostic significance.Methods: Group A patients (male 68, female 32) had no symptoms of hypertension and heart disease, and 12-lead electrocardiogram was normal .20 ~ 50-year-old patients in 80 cases, of which more than 40 years of age were tested for exercise, were negative .20 cases of> 50 years of atypical chest pain, coronary angiography, were normal .All subjects were 24 hours Holter Monitoring, while observing the impact of body position and mental arithmetic.Group B 30 (male 21, female 9) cases, aged 37 to 77 years, have typical angina pectoris, at least 5 times a week during the past 6 months, and the exercise test was positive All patients underwent electrocardiogram exercise test, followed by Holter monitoring for 4 consecutive days to observe the changes of ST segment.Among these 18 patients, 20 patients underwent exercise test and 48 hours Holter monitoring 4-18 (median 8) respectively; 22 Cases are still using positive hair