心肺运动功能检查在冠心病诊断中的临床价值  

The clinical study of diagnosis for coronary disease according CPET

作　　者：郭志勇[1] 滕志涛[1] 蔡爱宁 李杰[1] 王永笛 李仲巧[1] 鞠进[1] 周新福[1] 李尚艾[1] 

机构地区：[1]威海市立医院心血管中心,山东威海264200

出　　处：《中国医学工程》2013年第4期21-22,25,共3页China Medical Engineering

基　　金：威海科技局立项课题(20100512)

摘　　要：目的观察根据心肺运动功能检查参数(最大摄氧量、无氧阈、心率/氧脉搏斜率比)在冠心病诊断中的临床价值。方法选择威海市立医院心血管中心经冠状动脉CT成像或冠状动脉造影检查诊断冠心病病人53例,所有病人接受心肺运动功能检查,记录分析病人心肺运动参数,同时记录所有病人负荷心电图情况,运用统计学方法分析各指标与冠心病诊断的相关性,选择漏诊率最低的诊断冠心病的指标。比较负荷心电图与心肺运动功能检查指标对诊断冠心病的差异。结果与负荷心电图比较,经心肺运动功能检查参数更能早期、准确的冠心病。结论相对于传统负荷心电图心肺运动试验参数可以准确的诊断冠心病。【Objective】To investigate the clinical value of cardiopulmonary exercise tests（CPET） parameters（maximal oxygen uptake,anaerobic threshold,the slope of the heart rate / oxygen pulse ratio） of value in the early diagnosis of coronary heart disease.【Methods】53 cases with chest pain patients WeiHai Municipal Hospital Cardiovascular Center accepting coronary CT angiography or coronary angiography,all patients accepting cardiopulmonary exercise tests,while the records of all patients with stress ECG,using statistical methods to analyze the correlation of each index with the diagnosis of coronary heart disease,to select the sensitivity and specificity for diagnosis of coronary heart disease indicators.Compare stress ECG cardiopulmonary exercise test indicators differences in the early diagnosis of coronary heart disease.【Resluts】Compare stress ECG cardiopulmonary exercise test can early diagnosis coronary heart disease.【Conclusion】 Relative to conventional stress ECG cardiopulmonary exercise testing parameters accurate early diagnosis of coronary heart disease.

关 键 词：心肺运动试验 冠心病 诊断 负荷心电图 

分 类 号：R541.4[医药卫生—心血管疾病]