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平板运动试验U波倒置对冠心病的诊断价值

Clinical diagnostic value of the inversion of wave U exposed by treadmill ECG test in coronary heart disease
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摘要 目的探讨活动平板运动试验(TET)中U波倒置在冠心病诊断中的价值。方法拟诊或可疑冠心病患者52例,均接受冠状动脉造影及运动平板检查。分析平板运动试验时U波倒置与冠状动脉病变的关系。结果以传统标准判定运动试验的结果,呈阳性者58例,阳性率为71.6%;而以U波倒置为判定标准时,则阳性者为69例,阳性率达83.95%。两者经χ^2检验差异有统计学意义(P〈0.01)。结论运动试验中运用U波倒置来作为冠脉病变的诊断标准,可以提高冠心病的筛选诊断率。 Objective To estimate the value of inversion of wave U in treadmill ECG test (TET) in diagnosis of coronary heart disease (CHD). Methods Fifty - two cases who are suspicious of CHD were adopted in this investigation,TET and coronary arteriongraphy were exerted to these patients and changes of wave U were record and the lesions of coronary were confirmed by coronary arteriongraphy. Results There are 58 cases of positive diagnosis in TET which account for 71.6% according to conventional criterion ,while the amounts of positive diagnosis were enhanced 69 cases account for 83.95% on the biases of inversion of wave U and the difference were significant ( P 〈0.01 ). Conclusion Changes of inversion of wave U in TET is more sensitively to improve the monitor rate of the lesions of coronary heart disease than conventional standard.
作者 孔庆武
出处 《中国实用医刊》 2008年第14期49-50,共2页 Chinese Journal of Practical Medicine
关键词 平板运动试验 U波倒置 冠心病 冠状动脉造影 Treadmill ECG test Coronary arteriography Inversion of wave U
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