116例平板运动试验与冠状动脉造影结果对比分析  

A COMPARATIVE ANALYSIS ON CORONARY ANGIOGRAPHY AND TREADMILL EXERCISE TEST IN 116 CASES

作　　者：何劲松[1] 韦建生[1] 杨进[1] 银剑斌[1] 胡世红[1] 

机构地区：[1]广西医科大学第五附属医院心内科

出　　处：《中国煤炭工业医学杂志》2003年第6期493-494,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　评价平板运动试验诊断冠心病的价值。方法　对临床可疑冠心病患者 1 1 6例 ,分别行平板运动试验和冠状动脉造影 ,根据造影结果分为冠脉正常组和冠脉病变组 ,分析两组平板运动试验的结果。结果　平板运动试验诊断冠心病的敏感性为 75 .0 %、特异性为 71 .2 0 %、预测准确性为 73 .2 8% ;女性假阳性较男性高 ,其阳性结果诊断冠心病的价值小于男性。结论　平板运动试验安全 ,有较高的敏感性和特异性 ,可作为无创性诊断、评价冠心病的重要方法。Objective To investigate the diagnostic value of exercise electrocardiography test (EET). Methods 116 cases were performed by coronary angiography(CAG) and EET.They were divided into coronary artery normal and pathology groups according to CAG results. Results The sensitivity,specificity,predictive accuracy rate in diagnosis of CAD with EET were 75.0%,71.2%,and 73.28%,respectively. The positive predictive value was 76.2% and the negative predictive value 72.5%. The false positive was higher in female than in male and positive results with EET in female had lower diagnostic value. Conclusion EET had a higher sensitivity and specificity.It is a safe and effective noninvasive method to assess the coronary artery disease.

关 键 词：平板运动试验 冠状动脉造影 冠心病 诊断 对比分析 

分 类 号：R541.4[医药卫生—心血管疾病]