平板运动试验假阳性的影响因素分析  

Influencing factors of false positive in treadmill exercise test

作　　者：翟真[1] 王丽[1] 韩龙飞 康秀华[1] ZHAI Zhen, WANG Li, HAN Long-fei, KANG Xiu-hua.(Department of Cardiology, Yuquan Hospital of Tsinghua University, Beijing 100040, China)

机构地区：[1]清华大学玉泉医院心血管疾病科,北京市100040

出　　处：《中国分子心脏病学杂志》2018年第4期2548-2550,共3页Molecular Cardiology of China

摘　　要：目的探讨平板运动试验假阳性的相关影响因素,提高平板运动试验对冠心病的诊断价值。方法入选资料完整的153例运动平板试验阳性患者。所有患者均于入院2周内进行冠状动脉造影检查。根据冠脉造影结果分为平板运动试验真阳性组(n=82)和假阳性组(n=71),对比分析2组患者的临床资料及平板运动试验数据。结果 2组患者在性别、射血分数、运动时间方面存在显著性差异。结论运动平板试验作为辅诊冠心病的无创检查方法 ,具有简便、经济的优势,但存在一定的假阳性率,评价平板运动试验结果应结合患者年龄、病史特点、运动量以及伴随症状进行综合分析,以提高对冠心病诊断的准确性。Objective To analyze the influencing factors of false positive in treadmill exercise test.Methods 153 patients with positive treadmill exercise test were selected.All the patients were examined by coronary angiography（CAG） within two weeks after the treadmill exercise test.Based on the results of the CAG,the patients were divided into two groups：true-positive group（group A） and falsepositive group（group B）.Clinical data and TET data were compared between two groups.Results There were significant differences in sex,ejection fraction（EF）,or movement time.Conclusion TET is a sample and non-invasive method in the diagnosis of coronary artery disease.Combing specific clinical characteristic and othor complications to figure out false positive factors in TET can improve the accuracy of diagnosic.

关 键 词：平板运动试验 假阳性 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]