性别差异与平板运动试验假阳性相关性分析

Study of Diversity of Stress ECG in Gender

目的:分析性别差异与平板运动试验假阳性的相关性,提高临床诊断水平。方法:回顾性总结了2001年1月至2005年12月在我科作了平板运动试验与冠脉造影的1245例次的资料。其中男性745例,女性500例。结果:1245例均完成了冠状动脉造影术和平板运动试验,男性611例运动试验阳性(阳性率82%),582例冠脉造影阳性(阳性率78%);女性465例运动试验阳性(93%),325例冠脉造影阳性(65%)。结论:平板运动试验有明显的性别差异,女性较男性假阳性较多,性别间有显著性差异,提示在评价运动试验结果时要注意性别的差异。

Objective： To elucidate the diversity of stress ECG in sex. Methods： 1245 consecutive cases have gone throgh coronary angiography and finished stress ECG in 1 month before or after coronary angiography. Results：582 cases have positive results of coronary angiography and 611 cases have positive results of stress ECG in 745 male cases, and 325 eases have positive results of coronary angiography and 465 cases have positive results of stress ECG in 500 female cases. Conclusion： Male patients have less positive rate than female＇, and female cases have more fasle positive rate than male＇. The results of stress ECG are diversity in gender.