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运动平板心电图阳性与冠脉造影价值的比较研究 被引量:13

The Study of Comparison between Treadmill Test and Coronary Arteriongraphy
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摘要 目的分析无创性的运动平板心电图对冠心病的诊断价值。方法选择41例拟诊冠心病患者行运动平板心电图检查阳性,再行冠状动脉各分支造影后做对比分析及评价。结果运动平板实验对各病变血管的阳性预测性率,左前降支(LAD)为71.4%,左旋支(LCX)为54.3%,右冠状动脉(RCA)为60.0%,左主干(LM)为100%。运动平板对各病变血管的诊断准确性比较,左前降支(LAD)为72.6%,左旋支(LCX)为60.7%,右冠状动脉(RCA)为68.1%,左主干(LM)为2.8%。结论运动平板实验作为无创性检查冠心病方法,在不同部位血管支病变其诊断意义不同,应结合其他实验综合分析。 Objective The goal of this study was to explore the diagnosis value of treadmill test(TET) on coronary heart disease(CHD).Methods Fouty-one pseudo-diagnosis CHD patients,which received TET and the patient result was positivem,received coronary arteriongraphy(CAG).Results The positive predictabilities of TET on different coronary branch disease were 71.4%(LCX),54.3%(LCX),60.0%(RCA) and 100%(LM).The percent of accuracy of TET on different coronary disease were 72.6%(LAD),60.7%(LCX),68.1%(RCA) and 2.8%(LM).Conclusion TET had different value in diagnosing different coronary branch disease as a non-invasive test method in CHD patients,which should be synthetic analysed with other method.
出处 《实用心脑肺血管病杂志》 2011年第11期1911-1912,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 冠心病 运动平板心电图 冠状动脉造影 Coronary heart disease Treadmill test Coronary arteriongaphy
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  • 1林涵.最新心血管内科诊疗技术操作指南[M].北京:人民军医科技出版社,2006.26-27,755-756.
  • 2Christopher L,Wolfe MD.Silent myocardial ischemia:its impcuts on prognosis[J].J A Coll cardiol,1990,15:1004-1008.

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