阳性运动试验在冠心病中的诊断价值

The value of positive exercise test in the diagnosis of coronary heart disease

目的通过与冠脉造影结果对比评价平板运动试验阳性在冠心病诊断中的价值。方法对91例平板运动试验阳性并行冠脉造影检查者的结果进行回顾性分析。结果 91例运动试验阳性者中68例为冠脉造影阳性,平板运动试验中缺血型ST段压低出现的早晚,压低程度的大小,持续时间的长短及出现ST段压低导联数目的多少与冠脉病变程度呈正相关。结论平板运动试验是诊断冠心病的一种安全、有效、无创、操作简单的辅助检查方法。

Objective To explore the diagnosis value of treadmill exercise test as indicators of coronary arteriography.Methods Review and analyze 91 cases of positive EET and results of CAG.Results 91 patients with positive ECG exercise stress testing underwent coronary arteriography.Positive CAG was found in 68 cases.In ECG exercise stress testing,there was a positive correlation between appearance time of ischemic ST-segment depression,the degree and duration of depression,the number of ST-segment depression lead and lesion of arteria coronaria.Conclusion Exercise ECG test is a kind of safe,available,non-incadive and simple anxiliary examination methods.