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静息心电图对诊断冠心病价值的探讨
引用本文:张越,肖岩松,刘琳.静息心电图对诊断冠心病价值的探讨[J].内蒙古医学院学报,2007,29(3):176-177,181.
作者姓名:张越  肖岩松  刘琳
作者单位:1. 内蒙古医学院附属医院CCU病房,内蒙古,呼和浩特,010050
2. 兴安盟图牧吉劳教所医院
3. 包头医学院
摘    要:目的:探讨静息心电图对诊断冠心病的临床价值。方法:对42例病人根据临床表现分为3组,分别对其进行12导联静息心电图(ECG)及冠状动脉造影(CAG)检查,并对其结果进行对照性分析。结果:ECG表现与冠状动脉病变一致者27例(64.29%),ECG表现与冠状动脉病变不一致者15例(35.71%);A组15例CAG阳性率73.33%,B组12例CAG阳性率58.33%,C组15例CAG阳性率40%。结论:临床上不能单独依靠ECG来诊断冠心病,要密切结合临床表现及CAG指标综合判断,以明确诊断。

关 键 词:冠心病  心电图  冠状动脉造影
文章编号:1004-2113(2007)03-0176-03
收稿时间:2007-01-18
修稿时间:2007-01-182007-05-10

ROLE OF REST ELECTROCARDIOGRAM IN DIAGNOSIS OF CORONARY HEART DISEASES
ZHANG Yue,XIAO Yan-song,LIU Lin.ROLE OF REST ELECTROCARDIOGRAM IN DIAGNOSIS OF CORONARY HEART DISEASES[J].Acta Academiae Medicinae Neimongol,2007,29(3):176-177,181.
Authors:ZHANG Yue  XIAO Yan-song  LIU Lin
Institution:Department of CCU ,Affiliated Hospital ,Inner Mongolia Medical College ,Hohhot 010050, China
Abstract:Objective:To explore the role of rest electrocardiogram(ECG) in diagnosis of coronary heart disease.Methods:42 patients were divided into three groups according to clinical symptoms.Three groups of patients underwent rest 12-leads ECG and coronary angiography(CAG).Comparative analysis was performed among them.Results:ECG findings were in accordance with the coronary lesion in 27 cases,accounting for 64.29%.ECG findings were inconsistent with coronary lesion in 15 cases,accounting for 35.71%.In the A group,the positive rate of CAG is about 73.33%,in the B group,the positive rate of CAG is about 58.33%,in the C group,the positive rate of CAG is about 40%.Conclusion:In clinical practice,coronary heart disease should be diagnosed with clinical symptoms and CAG.The diagnosis of coronary heart disease should not rely on rest ECG only.
Keywords:coronary heart disease  electro cardiogram  coronary angiography
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