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分析  

Efficacy analysis of treadmill exercise electrocardiogram test and Holter electrocardiogram in the diagnosis of coronary heart disease

作　　者：赵梅 ZHAO Mei(Department of Electrocardiography,Dezhou Hospital of Traditional Chinese Medicine,Dezhou 253000,China)

机构地区：[1]德州市中医院心电图室,253000

出　　处：《中国现代药物应用》2024年第16期58-61,共4页Chinese Journal of Modern Drug Application

摘　　要：目的研究冠心病诊断中应用心电图平板运动试验与动态心电图诊断的临床价值。方法选择50例疑似冠心病患者,均实施心电图平板运动试验与动态心电图诊断,将冠状动脉造影结果作为金标准,分析两种方法的诊断效能。结果50例疑似冠心病患者中,冠状动脉造影阳性40例,占比80.00%。心电图平板运动试验检查的准确率、特异度、灵敏度分别为96.00%(48/50)、90.00%(9/10)、97.50%(39/40),高于动态心电图的64.00%(32/50)、20.00%(2/10)、75.00%(30/40),有统计学对比意义(P<0.05)。心电图平板运动试验检查的阳性预测值97.50%(39/40)、阴性预测值90.00%(9/10)高于动态心电图的78.95%(30/38)、16.67%(2/12),有统计学对比意义(P<0.05)。心电图平板运动试验检查的冠心病病变检出率97.50%高于动态心电图的75.00%,有统计学对比意义(P<0.05)。心电图平板运动试验检查的误诊率10.00%(1/10)、漏诊率2.50%(1/40)低于动态心电图的80.00%(8/10)、25.00%(10/40),有统计学对比意义(P<0.05)。结论心电图平板运动试验在临床冠心病诊断中应用价值显著,可实现病变分型准确鉴别。Objective To study the clinical value of treadmill exercise electrocardiogram test and Holter electrocardiogram in the diagnosis of coronary heart disease.Methods 50 patients with suspected coronary artery disease were selected,and all of them were subjected to treadmill exercise electrocardiogram test and Holter electrocardiogram for diagnosis,and the diagnostic efficacy of the two methods was analyzed by taking the results of coronary angiography as the gold standard.Results Among the 50 suspected patients with coronary heart disease,40 cases had positive coronary angiography,accounting for 80.00%.The accuracy,specificity and sensitivity of treadmill exercise electrocardiogram test were 96.00%(48/50),90.00%(9/10)and 97.50%(39/40),which were higher than 64.00%(32/50),20.00%(2/10)and 75.00%(30/40)of Holter electrocardiogram.There was statistical significance(P<0.05).The positive predictive value and negative predictive value of treadmill exercise electrocardiogram test were 97.50%(39/40)and 90.00%(9/10),which were higher than 78.95%(30/38)and 16.67%(2/12)of Holter electrocardiogram,and there was statistical significance(P<0.05).The detection rate of coronary heart disease by treadmill exercise electrocardiogram test was 97.50%,which was higher than 75.00%by Holter electrocardiogram,and there was statistical significance(P<0.05).The misdiagnosis rate of treadmill exercise electrocardiogram test was 10.00%(1/10)and missed diagnosis rate was 2.50%(1/40),which were lower than 80.00%(8/10)and 25.00%(10/40)of Holter electrocardiogram,and there was statistical significance(P<0.05).Conclusion Treadmill exercise electrocardiogram test has significant application value in clinical diagnosis of coronary heart disease,and can realize accurate identification of lesion classification.

关 键 词：动态心电图 冠心病 心电图平板运动试验 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]