摘要
目的:评价运动平板心电图与24h动态心电图对冠心病的诊断价值。方法:选择2021年2月~2023年2月福建省立医院收治的80例疑似冠心病患者为样本,均给予24h动态心电图检查和动态平板心电图检查,以冠状动脉造影诊断结果为金标准,分析24h动态心电图与动态平板心电图的诊断准确性。结果:80例疑似冠心病患者经冠状动脉造影确诊的有76例;经24h动态心电图检出患者63例,其中,误诊3例,漏诊14例;经动态平板心电图检出患者75例,其中,误诊2例,漏诊3例;运动平板心电图与24h动态心电图诊断冠心病的特异性对比无统计学意义,P>0.05;动态平板心电图诊断冠心病的准确度为93.75%、敏感度为78.75%均高于24h动态心电图的78.75%、81.58%,差异有统计学意义,P<0.05。结论:在冠心病临床诊断工作中运动平板心电图与24h动态心电图均有一定的应用价值,但相对于24h动态心电图而言,动态平板心电图具有更高的诊断准确度和敏感度,诊断价值更为显著,在实际临床诊断过程中,可依据患者实际情况选择更适合的诊断方式。
Objective:To evaluate the diagnostic value of exercise plate electrocardiogram and 24h dynamic electrocardiogram on coronary heart disease.Methods:80 suspected coronary heart disease patients admitted to Fujian Provincial Hospital from February 2021 to February 2023 were selected as samples,all of whom underwent 24h dynamic electrocardiogram and dynamic flat plate electrocardiogram examinations.The diagnostic accuracy of 24h dynamic electrocardiogram and dynamic flat plate electrocardiogram was analyzed using coronary angiography as the gold standard.Results:Out of 80 suspected coronary heart disease patients,76 were diagnosed through coronary angiography;63 patients were detected through 24h dynamic electrocardiogram,of which 3 were misdiagnosed and 14 were missed;75 patients were detected by dynamic electrocardiogram,of which 2 were misdiagnosed and 3 were missed;There was no statistically significant difference in the specificity between exercise electrocardiogram and 24h dynamic electrocardiogram in diagnosing coronary heart disease,with P>0.05;The accuracy and sensitivity of dynamic flat panel electrocardiogram in diagnosing coronary heart disease were 93.75%and 78.75%,respectively,which were higher than those of 24h dynamic electrocardiogram at 78.75%and 81.58%,with statistically significant differences(P<0.05).Conclusion:In the clinical diagnosis of coronary heart disease movement plate electrocardiogram and 24h dynamic electrocardiogram has certain application value,but relative to 24h dynamic electrocardiogram,dynamic flat electrocardiogram has higher diagnostic accuracy and sensitivity,diagnostic value is more significant,in the actual clinical diagnosis process,according to the actual situation to choose more suitable for diagnosis.
作者
项国剑
王庆峰
XIANG Guo-jian;WANG Qing-feng(Department of Cardiology,Fujian Provincial Hospital,Fujian Fuzhou 350001;Department of ECG Diagnosis,Fujian Provincial Hospital,Fujian Fuzhou 350001)
出处
《中国医疗器械信息》
2023年第22期152-154,共3页
China Medical Device Information
关键词
运动平板心电图
24H动态心电图
冠心病
诊断价值
exercise plate electrocardiogram
24h dynamic electrocardiogram
coronary heart disease
diagnostic value
