平板运动试验阳性对冠状动脉造影正常患者的评价  

Value of positive ECG treadmill test for patients with chest pain and negative coronary angiography

作　　者：王国英[1] 黄铮[1] 谭积颜[1] 

机构地区：[1]广州第一军医大学南方医院心内科,510515

出　　处：《心电学杂志》1998年第3期130-131,141,共3页Journal of Electrocardiology(China)

摘　　要：为评价平板运动试验阳性而冠状动脉造影正常的胸痛患者的临床意义,对36例平板运动试验阳性而造影阴性的患者与36例运动试验和造影均阳性的患者进行临床资料及平板运动试验参数的对照分析。结果显示:两组存在同样的冠心病主要危险因素,运动试验阳性而造影阴性的患者有平均年龄低、女性多于男性、平均运动时间短而达到预计最大心率的百分比高的特点。提示冠状动脉造影正常的平板运动试验阳性,对于男性患者有重要诊断价值,而对女性患者的诊断意义则须结合临床资料综合判定。In order to evaluate clinical significance of positive electrocardiogram treadmill test(ETT) to normal coronary artery angiography patients with chest pain, clinical data and parameters of electrocardiogram treadmill test (ETT) were analyzed in 72 patients with chest pain who had been examined by ETT and coronary artery angiography (CAA).Patients were divided into 2 groups:group A consisted of 36 patients with positive ETT but normal CAA, and group B was made up of another 36 patients with positive ETT and positive CAA. Results showed:both groups had same risk factors of coronary artery disease, but group A had characterics of younger average age, more females than males, shorter average exercise time and higher percentage of maximal heart rate reached. Authors maintain that positive ETT with normal CAA has an important diagnostic value for male patients, but for female patients, establishment of its diagnostic value should be linked with their clinical data.

关 键 词：平板运动试验 冠状动脉造影术 胸痛 心脏病 

分 类 号：R541.04[医药卫生—心血管疾病]