摘要
本文在80例老年人中以冠状动脉造影结果为标准,评价了静息12导联心电图(ECG)、24小时动态心电图(Holter)、二维超声心动图(UCG)及心肌核素显像平衡法(EM)在老年冠心病诊断中的价值。结果显示,上述方法的诊断敏感性、特异性、阳性预测值及诊断指数分别是:EM为91.2%、88.9%、96.9%、80.1%;ECG为91.5%、44.4%、92.9%、35.9%;UCG为48.3%、77.8%、93.5%、25.8%;Holter为66.7%、16.7%、81.5%、16.6%。4种无创性静息检查方法中,EM诊断指数最高,其次为ECG。
The values of rest ECG ,Holter , UCG and EM were analyzed according to the results of angiography .in the diagnosis of coronary heart disease in 80 elderly cases. The results showed that the sensitivity ,specificity .positive predictive value and diagnostic index of these four methods were 91. 2%, 88. 9%, 96. 9% and 80. 1 % for EM, respectively , 91. 5% , 44. 4% ,92. 9% and 35. 9% for ECG, respectively,48. 3% , 77. 8% , 93.5% and 25. 8% for UCG ,respectively, and 66. 7% , 16. 7% , 81. 5% and 16. 6% for Holter , respectively. In summary ,the diagnostic index of EM methods was the highest among these four methods.
出处
《实用老年医学》
CAS
1994年第3期111-112,共2页
Practical Geriatrics
关键词
冠心病
老年人
诊断
无创伤性诊断
Coronary heart disease
Noninvasive diagnostic methods
Evaluation