心电图诊断冠心病的临床应用价值

Clinical Application Value of Electrocardiogram in Diagnosing Coronary Heart Disease

目的:分析冠心病诊断方面选择心电图的应用价值。方法:将2021年1月至2022年6月龙岩市第一医院收治的206例疑似冠心病患者纳入研究,所有患者均接受冠状动脉造影以及心电图诊断,以冠状动脉造影诊断为金标准,分析心电图诊断效能。结果:经冠状动脉造影诊断206例患者中,有195例患者确诊为冠心病。心电图诊断该疾病的准确度为97.57%(201/206)、特异度为100.00%(11/11)、灵敏度为97.44%(190/195)。结论:心电图可有效诊断冠心病,诊断效能较高,但因心电图诊断冠心病并不直观,诊断时仍需结合临床特征,以进一步提高诊断效能。

Objective To analyze the application value of electrocardiogram in the diagnosis of coronary heart disease.Methods 206 suspected coronary heart disease patients admitted to Longyan First Hospital from January 2021 to June 2022 were included in the study.All patients underwent coronary angiography and electrocardiogram diagnosis,and the diagnostic efficacy of electrocardiogram was analyzed using coronary angiography as the gold standard.Results Out of 206 patients diagnosed by coronary angiography,195 patients were diagnosed with coronary heart disease.The accuracy of electrocardiogram in diagnosing this disease was 97.57%(201/206),specificity was 100.00%(11/11),and sensitivity was 97.44%(190/195).Conclusion Electrocardiogram can effectively diagnose coronary heart disease with high diagnostic efficiency.However,since electrocardiogram diagnosis of coronary heart disease is not intuitive,clinical features still need to be combined during diagnosis to further improve diagnostic efficiency.