踏车运动试验对高血压病合并冠心病的诊断意义

Diagnostic Significance of Treadmill Stress Test in Hypertension Complicated with Coronary Artery Disease

本文回顾分析47例无心肌缺血症状和平静心电图无ST段改变的原发性高血压病患者的踏车运动试验结果。阴性率32％,阳性患者中74.5％为下斜型ST段降低,持续时间2—12min。提示踏车运动试验对原发性高血压病患者筛选有否合并冠心病,具有较高的辅助诊断价值。

Forty - seven cases of primary hypertension patients with asymptomatic myocardial ischemia and non - ST segment change in resting EKG recording were evaluated with the Treadmill Stress Test retrospectively. The result demonstrated 32% of positive changes, among them 74% of downward slope ST segment depression with the duration of 2 - 12 minutes.This indicates that the treadmill stress test had an auxiliary diagnostic sigificance in screening whether the primary hypertension patient was complicated with coronary artery disease or not.