常规心电图ST段压低对老年2型糖尿病患者发生冠心病的预测价值  

Predictive Value of Conventional ECG ST Segment Depression on the Coronary Heart Disease in Elderly Patients with Type 2 Diabetes Mellitus

作　　者：翟南江[1] 陈思敏[1] 张莉[1] 

机构地区：[1]广东省第二人民医院超声科心电图室,广东省广州市510317

出　　处：《实用心脑肺血管病杂志》2014年第1期91-92,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨常规心电图ST段压低对老年2型糖尿病患者发生冠心病的预测价值。方法选择我院2011年1月—2013年3月收治的老年2型糖尿病患者72例,均完善常规心电图检查,并行冠状动脉造影明确诊断。结果常规心电图ST段压低诊断冠心病的敏感度为84.2%(48/57),特异度为66.7%(10/15),准确度为80.6%(58/72)。结论常规心电图ST段压低对老年2型糖尿病患者冠心病诊断的敏感度和特异度较高,有较好的临床预测价值。Objective To investigate the predictive value of conventional ECG ST segment depression on the coronary heart disease in elderly patients with type 2 diabetes mellitus. Methods 72 elderly patients with type 2 diabetes mellitus in our hospital were chosen from January 2011 to March 2013, they were perfected conventional ECG and coronary angiography for fur- ther diagnosis. Results The sensitivity of coronary heart disease was 84. 2 % （ 48/57 ）, specificity was 66. 7% （ 10/15 ）, and accuracy was 80.6% （58/72） diagnosed by conventional ECG ST segment depression in elderly patients with type 2 diabe- tes mellitus. Conclusion The sensitivity and specificity of conventional ECG ST segment depression are satisfactory on the diag- nosis of coronary heart disease in elderly patients with type 2 diabetes routine, which has better predictive value.

关 键 词：冠心病 心电描计术 ST段压低 老年人 糖尿病 2型 

分 类 号：R587.1[医药卫生—内分泌]