摘要
目的探讨运动平板试验可疑阳性对冠心病的诊断价值及有无再次行冠状动脉造影的必要性。方法 104例行运动平板试验可疑阳性疑诊冠心病患者行冠状动脉造影检查。结果运动平板试验可疑阳性在诊断冠心病的符合率70.2%(73/104)。冠状动脉造影(CAG)结果无或1个危险因素、2个危险因素、3个或3个以上危险因素冠状动脉造影阳性率分别为25.0%、77.8%和88.6%,三者比较差异有统计学意义(P<0.05)。结论运动平板试可疑阳性检出冠心病符合率高,是一种简便、经济和相对安全的无创性检查方法,在冠心病诊断中具有非常重要的价值。但对可疑阳性患者如果含有2个危险因素以上及有必要再次行冠状动脉造影检查,决定将来治疗方案。
Objective To explore the diagnostic value of dubious positive of exercise treadm ill test（TET） in patients with uncertain coronary artery disease（CAD）,and coronary angiography is necessary to diagnosis of CAD.Methods A total of 104 dubious positive of TET in patients with uncertain CAD were did coronary angiography.Results Dubious positive of TET was 70.2%（73/104） in diagnosis of CAD.coronary angiography confirmed CAD were 25.0%,77.8% and 88.6% respectively in no or one dangerous factor,two dangerous factors and three dangerous factors or above,,compared was significantly difference respectively（P0.05）.Conclusion Dubious positive of TET was higher,simple and convenient,economical,non invaseive method,and important value for diagnosis of CAD.If patients have two dangerous factors or above,coronary angiography is necessary for dubious positive of TET,and will decide treatment in future.
出处
《中国医药指南》
2013年第9期438-439,共2页
Guide of China Medicine
