运动试验阳性的女性患者冠脉造影结果分析

Analysis of the coronary artery angiography result of female patients with positive exercise electrocardiogram test

目的探讨平板运动试验对女性冠心病的诊断价值。方法对77例平板运动试验阳性的女性患者行冠状动脉造影检查,对结果进行回顾性分析。结果冠状动脉造影阳性48例(62.33%),阴性29例(37.67%)。阳性患者中单支病变10例,双支病变25例,多支病变13例。有胸痛症状者45例,冠状动脉造影阳性40例;无明显症状者32例,冠状动脉造影阳性8例。结论女性平板运动试验结果中,无临床症状者假阳性较多,有危险因素和临床症状者,平板运动试验阳性与冠状动脉造影阳性结果的符合率较高。

Objective To explore the value of exercise electrocardiogram test and coronary artery angiography （CAG） in the diagnose of coronary heart disease among females patients. Methods Review and analyze 77 cases of positive EET and results of CAG. Results Positive CAG：48cases （62.33%）; negative CAG：29cases （37.67%）. Single-branch pathology：10cases; double-branch pathologies：25cases; multiple-branch pathologies：13cases. Conclusion There are many false positive results among female patients with positive EET, but without relative angina pectoris symptoms; and there was relative high coincidence of CAG and EET among female patients with risk factors and clinical symptoms.