通过冠状动脉造影评价女性心电图T波改变对冠心病的诊断意义

Diagnosis of Coronary Heart Disease Evaluated by Coronary Angiography of T-wave Changes in Women

目的:探讨女性心电图T波改变对诊断冠心病的意义。方法:将心电图有T波改变的896例女性患者分为典型心绞痛组与非典型心绞痛组,两组均行冠状动脉造影检查,并以冠脉造影结果判断冠心病的诊断是否成立。分析两组患者冠心病的符合率。结果:典型心绞痛组冠心病符合率63.9%,非典型心绞痛组冠心病符合率为15.1%,两组间有明显差异。结论:女性心电图有T波改变但无典型心绞痛症状,不能轻易诊断冠心病。

Objective： To explore the significance of ECG T-wave alternation in women. Methods：T-wave alternation in 896 cases of female patients with or without typical angina pectoris were performed by coronary angiography for detecting atherosclerotie coronanry plaques. Results： There were 63.9% showed significant stenosis in women with typical angina peetoris and 15.1% in women without typical angina pectoris.There are significant differences between the two groups. Conclusion： T-wave alternation on electrocardiogram in women do not hastily diagnosed coronary heart disease.