摘要
目的分析应用平板运动试验和动态心电图对心肌缺血性冠心病患者的诊断价值。方法选取2020年6月至2022年6月鹤壁市人民医院收治的疑似心肌缺血性冠心病患者80例作为研究对象。所有患者均进行平板运动试验和动态心电图检查,以冠状动脉造影检查结果为金标准,分析平板运动试验、动态心电图单一检查与联合检查在心肌缺血性冠心病中的诊断价值。结果经冠状动脉造影检查,80例患者中有73例最终确诊为心肌缺血性冠心病。平板运动试验联合动态心电图检查结果与冠状动脉造影检查结果的一致性高于单一检查,Kappa值为0.847。平板运动试验联合动态心电图检查的灵敏度、准确度、阴性预测值均高于单一检查,差异有统计学意义(P<0.05)。结论相较于平板运动试验、动态心电图的单一使用,二者结合检查对心肌缺血性冠心病的鉴别诊断价值更高。
Objective To analyze the diagnostic value of using treadmill exercise test and dynamic electrocardiogram in patients with myocardial ischemic coronary heart disease.Methods A total of 80 suspected myocardial ischemic coronary heart disease patients admitted to Hebi People's Hospital from June 2020 to June 2022 were selected as the study subjects.All patients underwent treadmill exercise testing and dynamic electrocardiogram examination,with coronary angiography results as the gold standard.The diagnostic value of treadmill exercise testing,dynamic electrocardiogram single examination,and combined examination in myocardial ischemic coronary heart disease was analyzed.Results After coronary angiography examination,73 out of 80 patients were ultimately diagnosed with myocardial ischemic coronary heart disease.The consistency between the results of treadmill exercise test combined with dynamic electrocardiogram examination and coronary angiography examination is higher than that of single examination,with a Kappa value of 0.847.The sensitivity,accuracy,and negative predictive value of the combination of treadmill exercise test and dynamic electrocardiogram examination were higher than those of single examination,and the difference was statistically significant(P<0.05).Conclusion Compared to the single use of treadmill exercise test and dynamic electrocardiogram,the combined examination of the two has higher differential diagnostic value for myocardial ischemic coronary heart disease and is more worthy of use.
作者
马彩霞
程海
贾珂
张卫东
牛娜
MA Caixia;CHENG Hai;JIA Ke;ZHANG Weidong;NIU Na(Department of Cardiology and Physiology,People's Hospital of Hebi City,Hebi Henan 458000,China;Department of Thoracic Surgery,Henan Provincial Chest Hospital,Henan 450000,China)
出处
《临床研究》
2024年第3期129-132,共4页
Clinical Research
关键词
心肌缺血性冠心病
平板运动试验
动态心电图
myocardial ischemic coronary heart disease
treadmill exercise test
dynamic electrocardiogram
