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静脉注射异丙肾上腺素用于诊断女性缺血性心脏病:与自行车运动试验和选择性冠状动脉造影数据的比较

[Intravenous isoproterenol administration for diagnosing ischemic heart disease in women: a comparison with the data from bicycle ergometry and selective coronary angiography].

作者信息

Liakishev A A, Sidorenko B A, Akhmedzhanov N M, Matveeva L S

出版信息

Ter Arkh. 1985;57(9):29-34.

PMID:4082045
Abstract

The significance of the test with intravenous injection of isoproterenol in the diagnosis of coronary heart disease (CHD) was evaluated in comparison with the clinical, bicycle ergometry and selective coronarography data obtained in 65 women. Twenty-four patients presented with stenosing coronary atherosclerosis and 41 patients had normal coronary arteries. On the use of the electrocardiographic signs of myocardial ischemia the sensitivity of the isoproterenol test in the diagnosis of hemodynamically appreciable coronary atherosclerosis was 74%, the specificity 78%. The sensitivity and specificity of bicycle ergometry were 66 and 90%, respectively.

摘要

通过对65名女性患者进行静脉注射异丙肾上腺素试验,并与临床、踏车运动试验及选择性冠状动脉造影数据进行比较,评估了该试验在冠心病(CHD)诊断中的意义。24例患者存在冠状动脉粥样硬化狭窄,41例患者冠状动脉正常。根据心肌缺血的心电图表现,异丙肾上腺素试验诊断血流动力学上明显的冠状动脉粥样硬化的敏感性为74%,特异性为78%。踏车运动试验的敏感性和特异性分别为66%和90%。

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