[An orienting stress test following acute myocardial infarct in the elderly].

Zeitschrift fur Alternsforschung Pub Date : 1989-09-01
G Dahn, K Kothe, H Fiegler, H R Peikert, H Dronski
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Abstract

In a prospective study of 150 patients with definite myocardial infarction (WHO) risk group assignment in the acute phase was done based on lactate dehydrogenase isoenzyme monitoring. 28% of the patients were older than 60 years. The informative functional exercise test was performed by the end of the hospital phase according to three risk groups at different times. Low risk on the 14th day, medium risk on the 21st day, and patients at highest risk on the 28th day after the infarction at the earliest. In connection there this test lactate was determined. In older patients, upper age limit 75 years, any severe complications did not occur during exercise. High-risk patients were objectified by the lactate dynamism, and the decision was made on the further individual outpatient design of physical conditioning by means of low level exercise training.

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[老年人急性心肌梗死后定向应激试验]。
在一项前瞻性研究中,150例明确心肌梗死(WHO)患者在急性期的危险组分配是基于乳酸脱氢酶同工酶监测完成的。28%的患者年龄在60岁以上。在住院期结束时,根据三个风险组在不同时间进行信息功能运动测试。第14天为低危,第21天为中危,第28天为高危,发病时间最早。在此基础上测定了乳酸试验。在年龄较大的患者中,年龄上限为75岁,在运动期间未发生任何严重并发症。通过乳酸动力学对高危患者进行客观化,并决定通过低水平运动训练进行体能调节的进一步个体化门诊设计。
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