91例心电图运动试验可疑阳性女性患者原因及冠脉造影结果分析

Comparison of the results and reasons of treadmill exercise test with coronary angiography in 91 probable positive female patients

目的 探讨心电图运动试验（TET）可疑阳性女性患者的临床实际意义.方法 选择我院91例确诊或疑似女性冠心病（CHD）患者,TET可疑阳性且有完整的冠状动脉造影（CAG）资料,进行对照分析.结果 91例TET可疑阳性女性患者中,经CAG证实47例（51.65%）冠状动脉有病变（阳性）,44例（48.35%）冠状动脉无病变（阴性）.有高血压、高血脂、糖尿病、肥胖等因素68例,CAG呈阳性43例（63.23%）;无危险因素23例,CAG呈阳性4例（17.39%）,TET假阳性率48.35%.结论 TET可疑阳性的女性患者中CAG结果 阳性率较低（51.65%）.对于TET可疑阳性的女性患者应及时行CAG检查,让患者得到及时的诊断和治疗.

Objective This study was aimed to investigate the clinical significance of probable positive results of treadmill exercise test in female patients. Methods 91 female patients with confirmed or suspected coronary artery disease, underwent coronary angiography and treadmill exercise test. The results were analyzed comparatively. Results Among 91 female patients, the number of female patients with positive results of coronary angiography turned out to be 47 cases （51.65%）, the other included 44 cases with negative results （48.35%）. A- mong 68 female patients with hypertension, hyperlipemia, diabetes mellitus, obesity et al. With positive results of coronary angiography turned out to be 43 cases （62.23%）, the other without risk factors included 23 cases with positive results d cases （17.39%）, the false positive rate of treadmill exercise test were 48.35% .Conclusion There were 51.65% with positive results of coronary angiography among the female patients with probable positive results of treadmill exercise test. It was necessary for the female patients, who were suspicious positive of treadmill exercise test, to have coronary angiography in time. It would be good for those female patients to have effective diagnosis and therapy in time.