潘生丁食管心房调搏负荷超声心动图观测对诊断冠心病价值的探讨

The Evaluation on the Value of Persantine Transesophageal Atrial Pacing Stress Echocardiography on Diagnosing Coronary Heart Disease

本实验对冠心病、可疑冠心病和正常对照组各二十一例,均进行潘生丁食管心房调搏负荷超声心动图观测(DP-TAPS-2DE)、潘生丁食管心房调搏负荷试验(DP-TAPS-ECG)和潘生丁试验(DPT)的对比研究,并进行了6—12个目的随访.结果表明:DP-TAPS-2DE对冠心病诊断的敏感性和特异性均为95.2%,其价值显著优于DPT法(P<0.05)略优于DP-TAPS-ECG,但无统计学差异(P>0.05).随访结果进一步支持DP—TAPS—2DE法的优越性.揭示对其些诊断困难的病例采用该法检查是有价值的.

The author separately made the contrast research of Persuntine-transe -sophageal atrial pacing stress echocardiography (DP-TAPS-2DE ), Pcrsantirie -transesophageaal atrial pacing stress electrocardiogram (DP-TAPS-ECG) and Persantine test(DPT) on three groups i nc ludinu; CHD, suspect CHD and normal control groups,each containing 21 case,and follow-up for 6-12 months were carried on.It was shown that the sensitivity of DP-TAPS-2DE was 95.2% and the specificity was 95.2% , which is significant ly better than DPT concerning the value of diagnosing coronary heart disease (P<0.05). However.it was only a little better than DP-TAPS-ECG. But there was no statistics difference (P>0.05).The results of the follow-up the CHD group further suported the reliability of D P-TAPS-2DE .Therefore, the DP-TAPS 2DE test is of value in the diagenosis of some difficult cases.