心电图平板运动试验与动态心电图在冠心病诊断中的效能对比分析  

Comparative Analysis of the Efficacy of Electrocardiogram Plate Motion Test and Holter Electrocardiogram in the Diagnosis of Coronary Heart Disease

作　　者：张永卫 崔慧玲 张晨瑜 ZHANG Yongwei;CUI Huiling;ZHANG Chenyu(Department of Electrocardiology,Changzhi People's Hospital,Changzhi,Shanxi Province,046000 China)

机构地区：[1]长治市人民医院心电诊断科,山西长治046000

出　　处：《世界复合医学》2024年第3期77-79,86,共4页World Journal of Complex Medicine

摘　　要：目的比较心电图平板运动试验与动态心电图在冠状动脉粥样硬化性心脏病(coronary atherosclerotic heart disease,CAD)诊断中的效能。方法选取2022年1月—2024年1月长治市人民医院心电诊断科收治的158例疑似CAD患者,均实施心电图平板运动试验、动态心电图检查。以冠状动脉造影结果为金标准,分析二者对冠心病的检出结果、诊断效能及CAD病变检出情况。结果冠状动脉造影结果显示,158例疑似CAD患者中阳性102例、阴性56例,其中动态心电图检测处阳性90例、阴性44例,心电图平板运动试验组阳性98例,阴性50例。心电图平板运动试验的灵敏度、特异度、准确度分别为96.10%、89.30%、93.70%,均高于动态心电图诊断的88.20%、78.60%、84.80%,差异有统计学意义(χ^(2)=4.347、4.391、9.828,P均<0.05)。结论心电图平板运动试验诊断CAD的灵敏度、特异度、准确度高于动态心电图。Objective To compare the efficacy of ECG plate exercise test and Holter ECG in the diagnosis of coronary heart disease(coronary atherosclerotic heart disease,CAD).Methods A total of 158 suspected CAD patients admitted to the ECG diagnosis Department of Changzhi People's Hospital from January 2022 to January 2024 were selected,and electrocardiogram plate exercise test and dynamic ter examination were performed.Taking coronary angiography results as the gold standard,the detection results,diagnostic efficacy and detection of coronary heart disease were analyzed.Results The results of coronary angiography showed that among 158 suspected CAD patients,102 were positive and 56 were negative,of which 90 were positive and 44 were negative in the dynamic electrocardiogram test group,98 were positive and 50 were negative in the electrocardiogram treadmill exercise test group.The sensitivity,specificity and accuracy of ECG treadmill exercise test were 96.10%,89.30%and 93.70%,respectively,which were higher than 88.20%,78.60%and 84.80%of holter ECG diagnosis,and the differences were statistically significant(χ^(2)=4.347,4.391,9.828,all P<0.05).Conclusion The sensitivity,specificity and accuracy of CAD of electrocardiogram plate exercise test are higher than that of dynamic electrocardiogram,which is more worthy in the diagnosis of coronary heart disease.

关 键 词：心电图平板运动试验 动态心电图 冠心病 诊断效能 

分 类 号：R541.4[医药卫生—心血管疾病]