CAJ | 학술논문

目的?探讨运动平板试验可疑阳性对冠心病的诊断价值及有无再次行冠状动脉造影的必要性.方法?104例行运动平板试验可疑阳性疑诊冠心病患者行冠状动脉造影检查.结果?运动平板试验可疑阳性在诊断冠心病的符合率70.2%(73/104).冠状动脉造影(CAG)结果?无或1个危险因素、2个危险因素、3个或3个以上危险因素冠状动脉造影阳性率分别为25.0%、77.8%和88.6%,三者比较差异有统计学意义(P<0.05).结论?运动平板试可疑阳性检出冠心病符合率高,是一种简便、经济和相对安全的无创性检查方法,在冠心病诊断中具有非常重要的价值.但对可疑阳性患者如果含有2个危险因素以上及有必要再次行冠状动脉造影检查,决定将来治疗方案.
목적?탐토운동평판시험가의양성대관심병적진단개치급유무재차행관상동맥조영적필요성.방법?104례행운동평판시험가의양성의진관심병환자행관상동맥조영검사.결과?운동평판시험가의양성재진단관심병적부합솔70.2%(73/104).관상동맥조영(CAG)결과?무혹1개위험인소、2개위험인소、3개혹3개이상위험인소관상동맥조영양성솔분별위25.0%、77.8%화88.6%,삼자비교차이유통계학의의(P<0.05).결론?운동평판시가의양성검출관심병부합솔고,시일충간편、경제화상대안전적무창성검사방법,재관심병진단중구유비상중요적개치.단대가의양성환자여과함유2개위험인소이상급유필요재차행관상동맥조영검사,결정장래치료방안.
Objective To explore the diagnostic value of dubious positive of exercise treadm ill test (TET) in patients with uncertain coronary artery disease (CAD),and coronary angiography is necessary to diagnosis of CAD. Methods?A?total?of?104?dubious?positive?of?TET?in?patients?with?uncertain?CAD?were?did?coronary?angiography.?Results Dubious positive of TET was 70.2%(73/104) in diagnosis of CAD. coronary angiography confirmed CAD were 25.0%, 77.8%?and?88.6%?respectively?in?no?or?one?dangerous?factor,?two?dangerous?factors?and?three?dangerous?factors?or?above,,compared?was?significantly?difference respectively (P<0.05).?Conclusion?Dubious?positive?of?TET?was?higher,?simple?and?convenient,?economical,?non?invaseive?method,?and?important?value?for?diagnosis?of?CAD.?If?patients?have?two?dangerous?factors?or?above?,coronary?angiography?is?necessary?for?dubious?positive?of?TET,?and?will?decide?treatment?in?future.