多巴酚丁胺负荷超声与平板运动心电图诊断冠心病的临床研究  

Dobutamine Stress Echocardiography and Treadmill Exercise ECG Test for Diagnosis of Coronary Artery Disease

作　　者：常超[1] 信栓力[1] 朱元州[2] 李志梅[1] 李琴[1] 张建伟[1] 吴香婷[1] 

机构地区：[1]河北省邯郸市第一医院,邯郸市心血管病研究所 [2]武汉科技大学附属天佑医院

出　　处：《中西医结合心脑血管病杂志》2012年第1期19-20,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：河北省卫生厅医学研究重点课题基金计划(No.07150)

摘　　要：目的评价多巴酚丁胺超声心动图负荷试验(DSE)和平板运动心电图(TET)负荷试验诊断冠心病的价值。方法 46例可疑冠心病患者,行冠状动脉造影(CAG)、DSE及TET检查,以CAG作为诊断冠心病的金标准,比较多巴酚丁胺超声心动图负荷试验及平板运动心电图负荷试验诊断冠心病的准确性。结果多巴酚丁胺超声心动图负荷试验和平板运动心电图负荷试验对冠心病诊断的敏感性是86.2%vs 62.1%(P<0.05),特异性是88.2%vs 76.5%(P>0.05),准确性是87.0%vs 67.4%(P<0.05)。结论多巴酚丁胺超声心动图负荷试验对诊断冠心病有较高的敏感性、特异性和准确性。Objective To assess the value of dobutamine stress echocardiography（DSE） and treadmill exercise ECG stress test（TET） for diagnosis of coronary artery disease.Methods DSE and TET were performed in 46 patients（pts） with suspected CAD.Coronary angiography was used to assess the accuracy of DSE and TET for diagnosis of CAD.Results The sensitivity of DSE and TET for detecting CAD was 86.2% and 62.1%（P0.05）,respectively.The specificity of DSE and TET for detecting CAD was 88.2% and 76.5%（P0.05）,and the accuracy was 87.0% and 67.4%（P0.05）,respectively.Conclusion The results suggested that DSE had a relatively higher sensitivity,specificity,accuracy for diagnosis of coronary artery disease.

关 键 词：多巴酚丁胺 超声心动图 平板运动心电图负荷试验 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病] R256.2[医药卫生—内科学]