平板运动试验阳性的女性患者冠脉造影结果分析  

Analysis of coronary angiography for female patients with treadmill exercise test positive

作　　者：冯云 朱恒青 谢绍峰 

机构地区：[1]江西省赣州市立医院心内科,341000

出　　处：《中国现代药物应用》2012年第8期13-14,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨女性平板运动试验(TET)假阳性的原因及颈动脉斑块检查对冠心病无创性诊断的意义。方法对96例TET阳性的女性患者进行冠脉造影(CAG)及颈动脉斑块检查,对三种检查结果进行比较,回顾性分析女性患者出现平板运动试验假阳性的原因。结果 CAG证实为冠心病(CHD)58例(占60.4%),非CHD38例(占39.6%);颈动脉斑块检查阳性者71.2%被证实为CHD,而阴性者仅36.7%被证实为CHD;非CHD38例中临床最后诊断:心血管神经症20例,高血压病4例,单纯血脂异常4例,糖尿病3例,X综合征2例,高血压合并糖尿病2例,冠状动脉心肌桥2例,心尖部肥厚型心肌病1例。结论平板运动试验假阳性与心血管神经症、X综合征、冠状动脉肌桥、高血压病、糖尿病等因素有关,心血管神经症为最常见病因。TET结合颈动脉斑块检查可显著提高冠心病无创性检查的诊断率。Objective To discuss the renson of false positive result of treadmill exercise test（TET） in female patients and the significance of carotid artery plaque inspection in non-invasive diagnosis of coronary heart disease.Methods TET on 96 cases of positive female patients with coronary angiography（CAG） and examination of carotid plaque,on the comparison of three kinds of inspection results,retrospective analysis of female patients of treadmill exercise test false positive reasons.Results CAG confirmed coronary heart disease（CHD） in 58 cases（60.4 percent）,non-CHD38 case（39.6 percent）.71.2 percent positive examination of carotid plaque was confirmed as CHD,only 36.7 percent negative was confirmed as CHD.Clinical last diagnosis in non-CHD38 example：cardiovascular neurosis in 20 cases,4 cases of hypertension,dyslipidemia 4 simple cases,3 cases of diabetes mellitus,X syndrome：report of 2 cases,2 cases of hypertension complicated with diabetes,coronary myocardial Bridge 2,Apex hypertrophic cardiomyopathy：1 case.Conclusion Readmill exercise test false positive relevant with cardiovascular neurosis,X syndrome,myocardial bridge,hypertension,diabetes and other factors.Cardiovascular neurosis is the most common cause.Examination of carotid plaque with combination of TET can significantly increase the rate of non-invasive examination in diagnosis of coronary heart disease.

关 键 词：平板运动试验 女性 冠脉造影 颈动脉斑块 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]