摘要
目的探讨平板运动试验(TET)、动态心电图及超声心动图检查在冠心病诊断中的价值。方法选取2019年1月至12月嵊州市人民医院收治的疑似冠心病患者100例,按冠状动脉(下称冠脉)造影结果将其分为阴性组35例和阳性组65例。比较两组研究对象TET、动态心电图、超声心动图单独及联合检测结果。评价TET、动态心电图、超声心动图单独及联合检测冠心病的诊断价值。结果阳性组TET阳性50例,动态心电图阳性47例,超声心动图阳性51例,联合检测阳性60例,阳性率分别为76.9%、72.3%、78.5%、92.3%。阴性组TET阳性8例,动态心电图阳性10例,超声心动图阳性5例,联合检测阳性2例,阳性率分别为22.9%、28.6%、14.3%、5.7%。TET、动态心电图、超声心动图单独及联合检测冠心病的AUC值分别为0.770、0.719、0.821及0.933。结论TET、动态心电图及超声心动图均可作为冠心病诊断方法,且三者联合检测在冠心病患者中的应用价值较高。
Objective To explore the value of treadmill exercise test(TET),Holter and echocardiography in the diagnosis of coronary heart disease(CHD).Methods A hundred patients with suspected coronary heart disease admitted to Shengzhou People's Hospital from January to December 2019 were selected and divided into negative group(n=35)and positive group(n=65)according to coronary angiography results.Compare the results of TET,Holter,and echocardiography between the two groups.To evaluate the diagnostic value of TET,Holter,and echocardiography alone or in combitaion in detecting coronary heart disease.Results In the positive group,fifty cases were positive for TET test,forty-seven cases were positive for Holter,fifty-one cases were positive for echocardiography,and 60 cases were positive for combined test;in the negative group,eight cases were positive for TET test,ten cases were positive for Holter,and 5 cases were positive for echocardiography,two cases were positive for combined test.The AUC values of TET test,Holter and echocardiography alone and combined diagnostic value of CHD were 0.770,0.719,0.821 and 0.933 respectively.Conclusion TET test,Holter and echocardiography can all be used as diagnostic methods for CHD,and the combined detection of the three has a higher diagnostic value in patients with CHD.
作者
陈双礼
魏蓉蓉
CHEN Shuangli;WEI Rongrong(Department of ECG,Shengzhou People's Hospital,Shaoxing 312400,China)
出处
《心电与循环》
2022年第1期62-64,69,共4页
Journal of Electrocardiology and Circulation
关键词
平板运动试验
动态心电图
超声心动图
冠心病
Treadmill exercise test
Holter
Echocardiography
Coronary heart disease
