老年患者心电图与冠脉造影结果对比分析  

Analysis of the Electrocardiaogram and Coronary Ateriography in Elderly Patients

作　　者：范咏梅 曾晨卉 容志毅 柳素玲 陈友桂 资新爱 彭玲湘 叶冰 

机构地区：[1]湖南省老年医院功能科心电图室,湖南长沙410016

出　　处：《南华大学学报（医学版）》2010年第5期645-647,共3页Journal of Nanhua University(Medical Edition)

基　　金：湖南省科技计划项目(2009FJ3122);湖南省医药卫生科研计划课题(2008036)资助

摘　　要：目的探讨体表心电图对老年人冠心病的诊断价值。方法将117例老年人体表心电图与冠状动脉造影进行对比分析。结果 117例患者中心电图阳性90例,其中冠状动脉造影阳性72例,冠状动脉造影阴性18例;心电图阴性27例,其中冠状动脉造影阳性16例,冠状动脉造影阴性11例。在不同年龄组中,男、女性患者冠状动脉造影阳性率与心电图阳性率,差异均无显著性(P>0.05);但随年龄增长,心电图与冠状动脉造影阳性率也增高(P<0.05)。随着冠状动脉病变支数的增加,心电图诊断冠心病的阳性率也越高(P<0.05)。结论与冠状动脉造影相比较,体表心电图作为临床诊断老年人冠心病有一定价值。Objective To explore the value of the surface electrocardiogram（ECG） in diagnosing coronary heart disease（CHD） in elderly patients.Methods 117 elderly patients with doubtful CHD were examined by ECG and coronary angiography（CAG）. Results ECG data were positive in 90 patients,of whom CAG positive in 72 and negative in 18 subjects.ECG results were negative in 27 patients,of whom CAG negative in 16 and positive in 11 ones.Among different age groups,there were no statistical significance in the positive rate between CAG and ECG in either male or female cases（P0.05）.The positive rate of ECG in diagnosing CHD increased with more vessel lesion of coronary arteries. Conclusions Compared with CAG,the ECG is one of important non-invasive examination methods in the diagnosis of elderly patients with CHD.

关 键 词：冠心病 心电图 冠状动脉造影 老年患者 

分 类 号：R540.41[医药卫生—心血管疾病]