高血压患者运动试验的价值  

Role of the exercise testing in hypertensive patient

作　　者：李媛[1] 张宁[1] 陆民[1] 吕树铮[2] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001 [2]北京安贞医院,北京100014

出　　处：《宁夏医学杂志》2004年第1期5-6,共2页Ningxia Medical Journal

摘　　要：目的　研究伴有心前区疼痛发作的高血压病患者平板运动实验的特点。方法　 71例有心前区疼痛发作的高血压病患者 (HP)与 6 4例有心前区疼痛发作的非高血压患者 (NHP) ,均进行平板运动试验及冠状动脉造影检查。结果　发现两组敏感性 (86 .5 % ,82 .6 % )、阴性预测值 (75 .0 % ,6 5 .2 % )无显著性差异 (P >0 .0 5 ) ,而特异性 (83.3% ,4 4 .19% )、阳性预测值 (92 .6 % ,6 2 .7% )、准确性 (82 .8% ,6 6 .2 % ) ,NHP组高于HP组 (P <0 .0 5 )。HP组病人平板运动试验发生心电图ST段下移时间比NHP组延迟出现 (P <0 .0 1)。其冠状动脉造影阳性组最大ST段下移幅度大于冠脉造影阴性组 (P <0 .0 5 )。结论　高血压病患者运动试验假阳性率增加 ,这部分患者平板运动试验心电图ST段下移延迟出现 。Objective To study the characteristic of treadmill exercise in hypertensive patients with angina pectoris.Methods Treadmill exercise testing and coronary arteriography were performed in 71 patients with angina pectoris assotiated with hypertinsive on and 64 patients with angina pectoris with normal blood pressure.Results Sensitivity(86.5%vs 82.6%),negative prediction(73.0%vs 65.2%).It is nodifference(P>0.05),specificity(88.3%vs 44.1%),postiveprediction (92.6%vs 62.7%),occuracy (82.8%vs 66.2%).It in HP is higher in NHP (P<0.05).The presenting time of ST-T change in exercise testing is delayed in HP (P< 0.01).The biggest ST of the coronary arteriography positive group drops more than the nagetive group (P<0.05).Conclusion The fake-positive ratio of the exercise testing on hypertensive patients increases,and the decline of ST of the exercise testing electrocardiogram on these patients is delayed and its biggest ST drops more slightly.

关 键 词：高血压 冠状动脉心脏病 冠脉血管造影术 平板运动试验 

分 类 号：R544.1[医药卫生—心血管疾病]