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运动试验对冠状动脉狭窄的识别准确性。运动后心电图与冠状动脉造影的比较(作者译)

[Accuracy of exercise tests in the recognition of coronary-artery stenosis. Comparison between post-exercise ECG and coronary arteriogram (author's transl)].

作者信息

Kaltenbach M, Martin K L, Hopf R

出版信息

Dtsch Med Wochenschr. 1976 Dec 24;101(52):1907-11. doi: 10.1055/s-0028-1104353.

Abstract

Post-exercise ECGs and coronary arteriograms were compared in 180 unselected patients. Coronary-artery stenosis had been diagnosed correctly by arteriography in 94% of cases. In 60% this was also possible from the resting ECG (signs of myocardial infarction), while in the remaining 34% only the exercise ECG was positive. Post-exercise ECG changes are thus an important and largely specific means of diagnosing coronary-artery stenosis.

摘要

对180例未经挑选的患者的运动后心电图和冠状动脉造影进行了比较。冠状动脉造影对冠状动脉狭窄的诊断正确率为94%。其中60%的病例也可通过静息心电图(心肌梗死迹象)做出诊断,而其余34%的病例只有运动心电图呈阳性。因此,运动后心电图变化是诊断冠状动脉狭窄的一种重要且在很大程度上具有特异性的手段。

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