运动耐量测试在评估出现非典型胸痛的糖尿病患者中的价值。
Value of exercise tolerance testing in evaluation of diabetic patients presented with atypical chest discomfort.
作者信息
Gheydari Mohammad Esmail, Jamali Mohsen, Hajsheikholeslami Farhad, Yazdani Shahrooz, Jamali Mina
机构信息
Cardiology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
出版信息
Int J Endocrinol Metab. 2013 Winter;11(1):11-5. doi: 10.5812/ijem.4284. Epub 2012 Dec 21.
BACKGROUND
Coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. Electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics.
OBJECTIVES
We investigated the Positive Predictive Value (PPV) of this test in comparison with coronary angiography.
MATERIALS AND METHODS
130 diabetic patients with atypical chest discomfort were studied and tested using Exercise Tolerance Test (ETT) among which 100 cases showed positive results that further were studied invasively by selective coronary angiography.
RESULTS
The positive predictive value of ETT for diagnosis of Coronary Artery Disease (CAD)among diabetic patients presented with atypical chest discomfort was 77%.
CONCLUSION
We conclude that electrocardiographic stress test is a valuable inexpensive non-invasive screening test in diabetic patients with atypical chest discomfort.
背景
冠状动脉疾病是糖尿病患者死亡和发病的最重要单一原因。心电图负荷试验是一种用于筛查症状轻微的糖尿病患者是否存在显著冠状动脉病变的非侵入性检查方法。
目的
我们将该检查与冠状动脉造影进行比较，研究其阳性预测值（PPV）。
材料与方法
对130例有非典型胸痛的糖尿病患者进行运动耐量试验（ETT）检查，其中100例结果呈阳性，随后通过选择性冠状动脉造影进行有创检查。
结果
在有非典型胸痛的糖尿病患者中，ETT诊断冠状动脉疾病（CAD）的阳性预测值为77%。
结论
我们得出结论，心电图负荷试验对于有非典型胸痛的糖尿病患者而言是一种有价值、低成本的非侵入性筛查检查。
Zotero 插件