动态心电图ST段、T波变化联合冠状动脉CT血管成像在冠心病诊断中的应用  

Application of dynamic electrocardiogram ST segment and T wave changes combined with coronary CT angiography in the diagnosis of coronary heart disease

作　　者：胡夫渠 严卫国[2] 彭杰成[2] 伍万仕 刘国栋[2] HU Fuqu;YAN Weiguo;PENG Jiecheng;WU Wanshi;LIU Guodong(Electrocardiogram Room,Anqing First People’s Hospital of Anhui Province,Anhui Province,Anqing246004,China;Department of Cardiology,Anqing First People’s Hospital of Anhui Province,Anhui Province,Anqing246004,China)

机构地区：[1]安徽省安庆市第一人民医院心电图室,安徽安庆246004 [2]安徽省安庆市第一人民医院心内科,安徽安庆246004

出　　处：《中国医药导报》2022年第32期63-66,共4页China Medical Herald

摘　　要：目的研究动态心电图ST段、T波变化联合冠状动脉CT血管成像(CTA)在冠心病(CHD)诊断中的应用效果。方法选择2019年2月至2021年12月安徽省安庆市第一人民医院诊治的80例疑似CHD患者为研究对象,所有患者均行动态心电图、冠状动脉CTA及冠状动造影检查。以冠状动脉造影结果作为金标准,比较动态心电图、冠状动脉CTA及二者联合检测CHD的诊断效能及一致性检验。结果80例疑似CHD患者阳性69例(86.25%)。动态心电图诊断CHD的准确率为67.50%,Kappa值为0.520,一致性比较理想;冠状动脉CTA诊断CHD的准确率为81.25%,Kappa值为0.768,一致性好;二者联合诊断CHD的准确率为92.50%,Kappa值为0.918,一致性好。结论动态心电图ST段、T波改变联合冠脉CTA诊断CHD的价值较高。Objective To study the application effect of dynamic electrocardiogram ST segment and T wave changes combined with coronary CT angiography(CTA)in the diagnosis of coronary heart disease(CHD).Methods A total of 80 patients with suspected CHD who were diagnosed and treated in Anqing First People’s Hospital of Anhui Province from February 2019 to December 2021 were selected as the research subjects.All patients underwent dynamic electrocardiogram,coronary CTA,and coronary angiography.The results of coronary angiography were used as the gold standard,the diagnostic efficacy and consistency of dynamic electrocardiogram,coronary CTA,and their combination in detecting CHD were compared.Results A total of 69(86.25%)of 80 suspected CHD patients were positive.The accuracy rate of dynamic electrocardiogram in diagnosing CHD was 67.50%,and the Kappa value was 0.520,the consistency was ideal;the accuracy rate of coronary CTA in diagnosing CHD was 81.25%,and the Kappa value was 0.768,the consistency was good;the accuracy of combined diagnosis of CHD was 92.50%,and the Kappa value was 0.918,the consistency was good.Conclusion Dynamic electrocardiogram ST segment and T wave changes combined with coronary CTA have higher value in the diagnosis of CHD.

关 键 词：冠心病 动态心电图 ST段 T波 冠状动脉CT血管成像 诊断价值 

分 类 号：R816.2[医药卫生—放射医学]