摘要
目的 :探讨心得安试验在女性冠心病 ( CAD)诊断中的意义。方法 :对 5 8例拟诊为 CAD的女性患者 ,将其冠状动脉造影 ( CAG)与心得安试验结果进行对比分析。结果 :5 8例中 ,2 6例 CAG阳性 (诊断为 CAD) ,其中心得安试验阴性 2 4例 ( 91.7% ) ,阳性 2例 ( 8.3% ) ;32例 CAG阴性 ,其中心得安试验阳性 2 9例 ( 90 .3% ) ,阴性 3例( 9.7% )。心得安试验阳性共 31例 ,其中 2例诊为 CAD,2 8例诊为植物神经功能紊乱 ,1例诊为 X综合征 ;心得安试验阴性 2 7例 ,其中 2 4例诊为 CAD,3例诊为 X综合征。卡方检验结果 P <0 .0 0 1;心得安试验阴性对 CAD诊断的敏感性 92 .3% ,特异性 90 .6 %。结论 :心得安试验是协助诊断
Objective:To study the value of propranolol test in diagnosis of female coronary artery disease(CAD).Method: Retrospectively analyzed the findings of coronary angiography(CAG) and propranolol test of 58 female patients. Result:Among the 58 patients,26 patients were CAG positive,among which 29( 91.7 %) were propranolol test negative and two( 8.3 %) positive;32 patients were CAG negative ,among which 29( 90.3 %) were propranolol test positive and three ( 9.7 %) negative.There were 31 cases of propranolol test positive patients,among which two cases were CAD,28 were disfunction of autonomic nerves ,one were Xsyndrome.There were 27 cases of propranolol test negative patients, among which 24 cases were CAD,three were Xsyndrome. χ2 test showed P< 0.001 .The sensitivity and specificity of negative propranolol test on CHD were 92.3 % and 90.6 % respectively. Conclusion: Propranolol test is an effective method in aiding to diagnoisis of CAD.
出处
《临床心血管病杂志》
CSCD
北大核心
2000年第7期295-296,共2页
Journal of Clinical Cardiology
关键词
心得安试验
冠心病
诊断
女性
Coronary disease Propranolol test Neurocirculatory asthenia
