运动平板试验联合动态心电图对老年女性冠心病的诊断价值  

Diagnostic value of treadmill exercise test combined with dynamic electrocardiogram in elderly female patients with coronary heart disease

作　　者：欧阳征鹏[1] 骆大贵 刘学兵[1] 

机构地区：[1]四川省医学科学院/四川省人民医院心功能科,成都610000 [2]四川省泸定县医院内科,626100

出　　处：《重庆医学》2016年第31期4345-4346,4351,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81200135)

摘　　要：目的探讨运动平板试验(TET)联合动态心电图(DCG)对老年女性冠心病的临床诊断价值。方法将拟诊为冠心病的老年女性患者99例分为3组:A组应用TET诊断法,B组应用DCG诊断法,C组应用TET联合DCG诊断法。各组以冠状动脉造影(CAG)结果为对照指标,分析TET、DCG及二者联合对老年女性冠心病的诊断价值。结果患者的敏感度、特异性、阴性预测值、阳性预测值A组分别为77.3%、76.8%、55.3%、89.6%;B组分别为70.1%、50.2%、51.4%、85.9%;C组分别为86.6%、83.9%、72.6%、93.5%。C组患者的敏感度、特异性、阴性预测值、阳性预测值均优于A组和B组(P<0.05)。结论 TET联合DCG对老年女性冠心病的诊断价值较高,显著降低了疾病诊断的假阳性率和假阴性率。Objective To evaluate the diagnostic value of treadmill exercise test （TET） combined with dynamic electrocardiogram （DCG） in elderly female patients with coronary heart disease （CHD）. Methods Ninety--nine elderly female patients with suspected CHD were selected and randomly divided into ~hree groups：TET group （group A）,DCG group （group B） and TET＋ DCG group （group C）. The patients in the group A received the TET examinination followed with coronary angiography （CAG） the patients in the group B received the DCG examinination followed with CAG;and the patients in the group C received both TET and DCG examininations followed with CAG. According to the CAG results as the control indicator,the diagnostic values of TET, DCG and TET combined with DCG for elderly female patients with CHD were analysised in these three groups. Results The sensitivity,specificity,negative predictive value and positive predictive value in the group A were 77.3%,76.8% ,55.3% and 89.6% respectively,which in the group B were 70.1%, 50.2%, 51.4% and 85. 9 % respectively and which in the group C were 86.6 %, 83.9 %, 72.6% and 93.5% respectively. These parameters in the group C were superior to those in the group A and B （P〈0.05）. Conclusion TET combined with DCG has a higher diagnostic value for elderly female patients with CHD,which can significantly decrease the false positive and false negative rates in the diagnosis of CHD.

关 键 词：活动平板试验 动态心电图 老年女性 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]