冠状动脉造影与三种无创性检查诊断冠心病的对比分析  

Comparison of coronary angiography and three kinds of noninvasive methods in the diagnosis of coronary artery disease

作　　者：李保[1] 刘卓敏[1] 李运乾[1] 王绪太[1] 邱龄[1] 梁峰[1] 史世平[1] 温静霞[1] 

机构地区：[1]山西省心血管疾病研究所

出　　处：《中华心血管病杂志》1999年第2期105-106,共2页Chinese Journal of Cardiology

摘　　要：目的评价运动心电图试验（ＥＥＴ）、心肌灌注单光子发射计算机断层显像（ＳＰＥＣＴ）、多巴酚丁胺负荷超声心动图（ＤＳＥ）对冠心病的诊断价值。方法选择６４例冠状动脉造影（ＣＡＧ）检查的患者，并在同期内（间隔＜２周）接受ＥＥＴ、ＳＰＥＣＴ和ＤＳＥ检查。将ＣＡＧ结果分别与ＥＥＴ、ＳＰＥＣＴ和ＤＳＥ结果进行对比分析。结果这三种无创性检查诊断冠心病的敏感性分别为：７７．１％、９４．３％和９１４％；特异性分别为：７２．４％、７５．９％和８９．６％，准确性分别为：７１．９％、８５．９％和９０．６％。结论ＤＳＥ对冠心病的诊断具有较高的敏感性和特异性，且费用较低，是一种安全、有效的检查方法。Objective To investigate the diagnostic value of exercise electrocardiography test (EET), single photon emission computed tomography (SPECT) and dobutamine stress echocardiography (DSE) in coronary artery disease (CAD).Methods Sixty four patients were examined by coronary angiography (CAG), EET, SPECT and DSE. The duration of all methods was less than two weeks. CAG data were compared with EET, SPECT and DSE.Results The sensitivity in the diagnosis of CAD with EET, SPECT and DSE were 77.1%, 94 3% and 91.4%, respectively. The specificity were 72.4%, 75.9% and 89.6%, respectively. The accuracy rate were 71.9%, 85.9% and 90.6%, respectively.Conclusion In this study, DSE had a higher sensitivity and specificity, reached higher diagnostic accuracy and lower cost. It was a safe and effective methed.

关 键 词：冠心病 冠状动脉造影 心电图 诊断 DSE 

分 类 号：R541.404[医药卫生—心血管疾病] R540.4[医药卫生—内科学]