摘要
目的探讨平板运动试验几项主要阳性标准诊断冠心病的临床意义。方法回顾性分析已确诊运动试验阳性的72例患者的临床资料,参照几项主要诊断的阳性标准,对比确诊冠心病的金标准冠状动脉造影阳性的敏感性与特异性。结果表现ST段下移者52例,诊断冠心病的敏感性73%,特异性62%,而表现其它几项阳性分别为心绞痛20例,ST段抬高8例,T波高尖6例,其敏感性与特异性均依次增高。结论平板运动试验几项主要阳性标准除ST段下移外,发生率相对较低,但敏感性、特异性高于ST段下移,对比分析诊断,平板运动试验几项阳性标准诊断冠心病具有一定的临床诊断价值,而运动试验中合并几项指标阳性同时出现,则提升其诊断冠心病的临床价值。
Objective To investigate clinical significance for the positive treadmill exercise test by several key criteria for the diagnosis of coronary heart disease. Methods The hospital has confirmed 72 patients with positive exercise test result in the past three years ,then with reference to several major positive diagnostic result criteria, it compares and contrasts the positive sensitivity and specificity of the golden standard for diagnosis of coronary heart disease coronary angiography. Re- suits 52 cases showed ST segment depression,73% sensitivity for diagnosis of coronary heart disease,62% specificity,while the performance of several other positive were 20 cases of angina, ST segment elevation in 8 cases, T wave height sharp in 6 ca- ses, sensitivity and specificity were successively increased. Conclusion For the treadmill exercise test in addition to several major positive standard ST segment depression,the incidence is relatively low, but the sensitivity and specificity are higher than ST segment depression, comparative analysis of diagnosis indicates that several positive treadmill exercise test criteria for diagnosis of coronary heart disease has some diagnostic value, and exercise testing merges several positive indicators simuhaneously,which sharply enhance the value of their clinical diagnosis of coronary heart disease.
出处
《中南医学科学杂志》
CAS
2014年第5期494-496,共3页
Medical Science Journal of Central South China
关键词
平板运动试验
阳性指标
冠心病
treadmill exercise test
the positive indicators
coronary heart disease
