冠状动脉造影与动态心电图对比分析

Comparative Analysis of Dynamic Electrocardiogram and Coronary Angiography

目的:探讨动态心电图检查对冠心病的诊断价值。方法:对怀柔区第一医院323例冠状动脉造影者与动态心电图结果进行分析对比。结果:323例冠状动脉造影阳性223例,阳性率69.04%。动态心电图阳性234例,阳性率72 45%。且在男女各年龄组中[除女性(40～50)岁年龄组]冠状动脉造影阳性率与动态心电图阳性率结果存在一致性(P<0.05)。(动态心电图检查阴性89例中,冠状动脉造影阳性12例,其中3例为严重的冠状动脉双支病变,2例严重的三支病变,需做冠状动脉搭桥术治疗)。而在冠状动脉造影100例阴性患者中有23例动态心电图呈阳性表现。结论:动态心电图检查是临床冠心病无创性检查方法之一,它的阳性更多的体现患者心脏血液供应的24小时病变情况,对临床诊断和治疗有着重要的意义。

Objective：To investigate the value of dynamic electrocardiogram（DCG） in diagnosing coronary artery disease.Methods： Dynamic electrocardiogram （DCG） data were compared with that of coronary angiography（CAG） in 323 patients.Results：323 patients accounted for CAG results were positive 223 patients which positive rate 69.04%, and DCG results were positive in 234 patients which positive rate of 72.45%,It is consistency between the positive rate of CAG and DCG in male and female various [except women＇s （40-50）]age groups（P〈0.05）.（In the negative reaction 89 patients of DCG results in which CAD results were positive in 12 patients,including 3 cases of serious coronary artery double-vessel disease, and 2 examples the three coronary artery pathological changes which need to make the coronary bypass operative treatment.）While in 100 patients CAD results were negative and DCG results were positive in 23 patients of them.Conclusion： DCG is one of important non-invasive exuminufiun methods in the diagnosis of CAD,what its positive are more manifests the patient heart 24-hour blood supply pathological change situation, have important significance to the clinical diagnosis and treatment.