《Med J Australia》1984;140(2):124. 八十年代面对放射核素新的诊断方法的应用,对运动应激试验应给予重新评价。运动应激试验有三个主要适应症:(1)诊断缺血性心脏病;(2)对不知有冠脉疾患病人的症状客观评价;(3)心肌梗塞后病人的估价和康复。运动应激试验曾广泛地应用于诊断缺血性心脏病。远在50年前,就知道由运动产生的ST段改变与以后冠脉疾患发展有关。1935年Masfer设计的方案,让病人在一定时间上下两个9英寸的标准台阶,运动前后做ECG,观察有无ST段改变,多年来试图用此标准方 “Med J Australia” 1984; 140 (2): 124. The application of new diagnostic methods for radionuclides in the 1980s should be reassessed for exercise stress tests. There are three major indications for exercise stress testing: (1) diagnosis of ischemic heart disease; (2) objective assessment of symptoms in patients with coronary artery disease; (3) evaluation and rehabilitation of patients after myocardial infarction. Exercise stress test has been widely used in the diagnosis of ischemic heart disease. Fifty years ago, it was known that changes in ST segment resulting from exercise were associated with later development of coronary artery disease. In 1935, Masfer designed the program to allow patients to walk up and down two standard 9-inch steps for a certain period of time before and after exercise to make ECGs and observe the presence or absence of ST-segment changes. Over the years,