平板运动试验与静息心电图联合评估对冠心病的诊断价值  

Diagnostic value of treadmill exercise test combined with resting electrocardiogram in coronary heart disease

作　　者：闫荣 胡广翠 逄红风 于杰 Yan Rong;Hu Guangcui;Pang Hongfeng;Yu Jie(Department of Electrophysiology,Yantai Mountain Hospital,Yantai 264000,China;Department of Cardiovascular Medicine,Yantai Mountain Hospital,Yantai 264000,China)

机构地区：[1]烟台市烟台山医院电生理科,烟台264000 [2]烟台市烟台山医院心血管内科,烟台264000

出　　处：《国际医药卫生导报》2024年第4期619-622,共4页International Medicine and Health Guidance News

基　　金：烟台市科技计划项目(2019MSGY137)。

摘　　要：目的探究平板运动试验(TET)与静息心电图(ECG)联合评估对冠心病的诊断价值。方法选取2020年1月至2023年1月烟台市烟台山医院纳入的100例疑似冠心病患者作为研究对象,年龄32~75(52.43±2.18)岁,体质量指数(23.55±1.87)kg/m2。以冠状动脉造影(CAG)诊断结果作为“金标准”,对所有患者实施静息ECG检查和TET,比较分析静息ECG、TET及静息ECG联合TET在冠心病中的诊断效能。采用χ_(2)检验。结果静息ECG检查表明,65例阳性、35例阴性、6例误诊;TET检查表明,72例阳性、28例阴性、4例误诊;TET检查比静息ECG检查更准确,更靠近CAG诊断结果。静息ECG联合TET检查结果表明,76例阳性、24例阴性、2例误诊;静息ECG联合TET检查比TET、静息ECG单项检查更准确,与CAG诊断结果一致性较好。静息ECG联合TET检查的曲线下面积(area under the curve,AUC)为0.913,灵敏度为92.50%,特异度为90.00%,均高于静息ECG、TET单独诊断结果。结论TET与静息ECG联合对评估冠心病有着良好的诊断价值。Objective To explore the diagnostic value of treadmill exercise test(TET)combined with resting electrocardiogram(ECG)in the assessment of coronary heart disease(CHD).Methods A total of 100 suspected CHD patients admitted to Yantai Mountain Hospital from January 2020 to January 2023 were included in the study,with an age of 32-75(52.43±2.18)years old and a body mass index of(23.55±1.87)kg/m2.Using the diagnosis result of coronary angiography(CAG)as the"gold standard",all patients underwent resting ECG and TET.The diagnostic efficacies of ECG,TET,and ECG combined with TET in CHD were compared.χ_(2) test was used.Results The ECG results showed 65 positive cases,35 negative cases,and 6 misdiagnoses.The TET results showed 72 positive cases,28 negative cases,and 4 misdiagnoses.TET was found to be more accurate than ECG and be closer to the CAG diagnostic results.When combining ECG and TET,the results showed 76 positive cases,24 negative cases,and 2 misdiagnoses.The combination of ECG and TET was more accurate than ECG or TET alone,and had better consistency with the CAG diagnostic results.The area under the curve(AUC)for the combination of ECG and TET was 0.913,with a sensitivity of 92.50%and a specificity of 90.00%,both of which were higher than the results for ECG and TET individually.Conclusion The combination of resting ECG and TET offers good diagnostic value in the assessment of CHD.

关 键 词：平板运动试验 静息心电图 冠心病 诊断 预后 

分 类 号：R541.4[医药卫生—心血管疾病]