冠心病心电图与冠脉造影结果的对比分析

Comparative analysis of dynamic electrocardiogram and coronaryarteriography in coronary artery disease

目的探讨动态心电图与冠脉造影在冠心病的患者诊断中的价值分析。方法回顾性分析我院自2008年10月～2010年10月收治的48例冠心病患者,均进行动态心电图与冠状动脉造影检查,进行对比分析。结果相对于心电图检测,冠脉造影灵敏度为66.7%,特异度为71.4%。心电图与冠脉造影两种检查方法比较,P>0.05。冠脉造影与心电检查,单支病变(62.5%),双支病变(53.8%)与三支病变(88.9%)相比,均有统计学意义(P<0.05)。结论动态心电图与冠脉造影在冠心病中的诊断效果无差异,均可用来诊断冠心病。

Objective To evaluate the value of dynamic electrocardiogram and coronaryarteriography in coronary artery disease.Methods We retrospectively analyzed 48 cases with coronary artery disease treated in our department from October 2008 to October 2010,electrocardiogram were compared with that of coronary arteriograph.Results The sensitivity of electrocardiogram on diagnosing coronary artery disease is 66.7%,the specificity is 71.4%（P0.05）;the positive rate of diagnosing muhivessel damage of coronary artery disease（88.9%） is significantly higher than diagnosing bivessel damage（53.8%）or monovessel damage（62.5%）by electrocardiogram（P0.05）.Conclusion Electrocardiogram and coronaryarteriography are effective diagnotic methods in the coronary artery disease.