运动试验对有胸痛发作女性的冠心病预测价值

Predicting value of exercise test for women with chest pain

目的:探讨运动试验对绝经期前、后具有胸痛发作的女性是否有冠心病预测价值。方法:30例绝经期前和43例绝经期后女性进行平板运动试验,并与冠状动脉造影的结果相比较。结果:30例绝经期前女性中18例运动试验阴性,其中17例冠状动脉造影阴性,阴性预测价值94％;43例绝经期后女性中22例运动试验阳性,其中17例冠状动脉造影阳性,阳性预测价值77％。绝经后妇女阳性预测值显著高于绝经前妇女(P<0.01)。结论:对具有胸痛症状女性而言,运动试验对绝经期前女性的阴性预测价值较高,对绝经期后女性的阳性预测价值提高。

Objective: To assess the predicting value of exercise test to premenopausal and postmenopausal women with chest pain. Methods: A total of 73 patients underwent treadmill exercise test and coronary angiography. Results: In 30 premenopausal women, 17 of 18 patients with negative treadmill test findings showed negative coronary angiographic results. The negative predicting value of exercise testing outcome was 94%. In 43 postmenopausal women, 17 of 22 patients with positive treadmill test findings showed positive coronary angiographic results. The positive predicting value of exercise testing outcome was 77%, it was more than that of group A (25%), P<0. 01. Conclusion: For pre-menopausal women, the exercise testing results present with a good negative predicting value and to postmenopausal women present with a good positive predicting value.