活动平板对评价冠状动脉瘤样扩张所致心肌缺血价值的初步探讨  

Electrocardiograph exertion test for Preliminary evaluation of coronary artery ectasia induced myocardial ischemia

作　　者：刘继烈[1] 

机构地区：[1]河南省漯河市中心医院,462000

出　　处：《中国医学创新》2012年第7期33-35,共3页Medical Innovation of China

摘　　要：目的初步探讨活动平板对评价冠状动脉瘤样扩张所致心肌缺血的价值。方法冠脉造影发现20例冠状动脉瘤样扩张患者,比较活动平板检查前后心电图变化,结合冠脉瘤样扩张血管支数计算阳性率。结果活动平板阳性8例,占40%。三支冠状动脉瘤样扩张患者的活动平板比单支更易出现阳性,两者比较差异有统计学意义(P<0.05)。双支冠状动脉瘤样扩张患者的活动平板与三支比较差异亦有统计学意义(P<0.05)。结论随着冠状动脉瘤样扩张患者冠脉受累血管的增加,活动平板阳性率增加,活动平板对评价冠状动脉瘤样扩张所致心肌缺血具有一定的价值。Abstract To investigate the assessment of electrocardiograph exertion test on myocardial isehemia in patients with eoro-nary artery ectasia. Methods Auther stddied 20 patients with coronary artery ectasia unden going coronary artery angiography （CAG） and took electrocardiograph exertion test before CAG. There was the positive rate between the vessel number of coronary artery ectasia and the re- sult of electrocardiograph exertion test. Results 8 case of patients with coronary artery ectasia showed positive electrocardiograph exertion test. The positive rate was 40%. A significant deference of the positive rate were observed in patients with coronary artery ectasia of 3 vessel compared with that of 1 vessel（ P 〈 0. 05 ）. There was also the same result between in patients with coronary artery ectasia of 3 vessel com- pared with that of 2 vessel（ P 〈 0. 05）. Conclusion The positive rate of electrocardiograph exertion test is increased with the vessel number of coronary ectasia. It is valuble for the assessment of electrocardiograph exertion test on myocardial ischemia in patients with coronary artery ectasia.

关 键 词：冠状动脉造影 活动平板 冠状动脉瘤样扩张 

分 类 号：R541.4[医药卫生—心血管疾病]