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平板运动试验不同导联ST改变对冠心病的诊断价值

Diagnosis value of ST change in different lead of electrocardiogram during treadmill exercise test in patients with coronary artery disease
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摘要 目的:总结平板运动试验中不同导联ST改变对冠心病的诊断价值。方法:2001年1月至2005年12月在我科行平板运动试验阳性患者300例,进行了冠脉造影检查,回顾性总结分析其平板运动试验中不同导联ST段变化对冠心病的诊断价值。结果:平板运动试验阳性患者300例。冠脉造影检查阳性231例,其中肢体导联阳性组37例,胸导联阳性组89例,肢体导联+胸导联阳性组105例,胸导联ST改变较单纯肢体导联ST改变有显著的差异性(P<0.05)。结论:平板运动试验诊断中胸导联ST改变较单纯肢体导联ST改变对冠心病的诊断有较好的预测价值。 Objective: To determine the diagnosis value of ST change in different lead of electrocardiogram (ECG) during treadmill exercise test in patients with coronary artery disease (CAD). Methods: The coronary angiography and the treadmill exercise test were performed in 300 patients. Results: The 300 cases had the positive result during treadmill exercise test and 231 cases had been diagnosed CAD by coronary angiography. In 231 CAD patients, 37 cases had positive result of limb lead, 78 cases bad positive result in chest lead. But 105 cased had positive result of limb+chest leads during treadmill exercise test, its positive rate was more than that of limb lead (P〈0.05). Conclusion: The value of ST change in chest lead of ECG diagnosing CAD is more than that of limb lead during treadmill exercise test.
出处 《心血管康复医学杂志》 CAS 2007年第1期84-86,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 运动试验 冠状动脉疾病 心电描记术 Exercise test Coronary artery disease Electrocardiography
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