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平板运动试验与冠状动脉造影诊断冠心病的对照分析
引用本文:许桂萍,陈汉娜,王蔓莉,赵红.平板运动试验与冠状动脉造影诊断冠心病的对照分析[J].中国现代医学杂志,2006,16(18):2842-2844.
作者姓名:许桂萍  陈汉娜  王蔓莉  赵红
作者单位:1. 华北煤炭医学院附属医院,河北,唐山,063000
2. 湖南省马王堆医院,湖南,长沙,410016
摘    要:目的 评价和分析次极量平板运动试验(TET)对冠心病的诊断的价值。方法 以冠状动脉造影(CAG)为诊断冠心病的标准,对115例患者同时行冠状动脉造影和平板运动试验检查,对其结果进行对比,分析平板运动试验的敏感度和特异度等指标。结果 平板运动试验阳性者72例,冠状动脉造影检查确诊冠心病60例,平板运动试验诊断冠心病灵敏度为82.2%,特异度为71.4%,符合率为78.3%,阳性预测值为83.3%,阴性预测值为69.8%。TET对冠状动脉多支病变的检出率明显高于单支病变(P〈0.05)。结论 平板运动试验是一种诊断冠心病较理想的、安全的无创诊断方法,其敏感度和特异度较高,尤其对多支血管病变患者。

关 键 词:平板运动试验  冠状动脉造影  冠心病
文章编号:1005-8982(2006)18-2842-03
收稿时间:2006-07-06
修稿时间:2006-07-06

Comparison between treadmill exercise testing and coronary angiography for diagnosis of coronary artery disease
XU Gui-ping,CHEN Han-na,WANG Man-li,ZHAO Hong.Comparison between treadmill exercise testing and coronary angiography for diagnosis of coronary artery disease[J].China Journal of Modern Medicine,2006,16(18):2842-2844.
Authors:XU Gui-ping  CHEN Han-na  WANG Man-li  ZHAO Hong
Institution:1.Department of Hoher, Affiliated Hospital of North China Coal Medical College, Tangshan, Hebei 063000,P.R. China; 2. The Mawandui Hospital of Hunan Province, Changsha, Hunan 410016,P.R.China
Abstract:Objective] To evaluate the diagnostic value of treadmill exercise testing(TET).Methods] 115 patients with suspicious coronary artery disease(CAD)were examined by TET and coronary angiography(CAG)and the diagnostic results were compared and determined.Results] Among 72 patients with positive diagnosis by TET,there were 60 ones with positive diagnosis,the sensitivity was 82.2%,the specificity was 71.4%,the diagnostic accordance rate was 78.3%,the positive and negative predictive accuracy was 83.3% and 69.8% respectively.There was also higher detectable rate for TET in the multiple vessel disease group compared with the single vessel disease group(P <0.05).Conclusion] Exercise treadmill testing is an effective non-invasive method for diagnosis of CAD with high sensitivity and speciality.Some parameters in TET are helpful to predict the severity of CAD.
Keywords:treadmill exercise testing(TET)  coronary artery diseases(CAD)  coronary angiography(CAG)
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