摘要
目的 :通过冠状动脉造影证实心电图在诊断冠心病中的价值。方法 :根据冠状动脉的造影结果 ,将 10 0例患者分为冠心病组和非冠心病组 ,比较两组静息心电图和症状发作时心电图 ,了解心电图诊断冠心病的价值。结果 :10 0例冠心病患者中 5 4例 (5 4% )诊断冠心病 ,其中静息心电图正常者 2 6例(4 8% ) ,ST -T改变者 11例 (2 0 % ) ,心律失常 18例 (3 3 % )。而 46例 (4 6% )非冠心病患者 ,2 0例 (4 3 % )静息心电图正常 ,ST -T改变者 8例 (17% ) ,心律失常 15例 (3 2 % )。在患者症状发作时 ,冠心病组动态ST -T改变者 40例 (74% ) ,而非冠心病组仅 5例 (10 % )。结论 :静息心电图在诊断冠心病中局限性很大 ,而症状相关性的动态ST -T改变在诊断冠心病中有较高价值。
Objective:To analysis the value of electrocardiogram (ECG) on diagnosing coronary artery disease(CAD) according coronary artery angiography(CAG).Methods:The ECG was analyzed in 100 patients who had been made examination of CAG.Results:54 cases were diagnosed as CAD, and the rate is 54%. In this group, 26 cases (48%) have normal ECG, 11 cases(20%) have the change of ST-T, 18 cases(33%) have arrhythmia. In another group, 20 cases(43%) have normal ECG, 8 cases(17%) have the change of ST-T, 15 cases (32%) have arrythmia. 40 cases (74%) have symptom related dynamic change of ST-T in the group of CAD, and just 5 cases(10%) in another goroup.Conclusion: The resting ECG has many limitations in diagnosis of CAD. The value of symptom related dynamic change of ST-T was more valuable.
出处
《航空航天医药》
2004年第4期201-202,共2页
Aerospace Medicine
关键词
冠脉造影
心电图
冠心病
coronary artery angiography
electrocardiogram
coronary artery disease
