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提高疑似心绞痛患者平板运动负荷试验诊断效能的分析方法。

Analysis methods to improve the diagnostic power of treadmill exercise stress testing in patients with suspected angina pectoris.

作者信息

Lan X, Choo M H, Lim Y T

机构信息

Cardiac Department, National University Hospital, Singapore.

出版信息

Singapore Med J. 1994 Aug;35(4):364-6.

PMID:7899892
Abstract

To assess the ability of 3 established analysis methods in exercise stress electrocardiography to non-invasively detect the presence of coronary artery disease (CAD), 67 consecutive patients who had typical angina, positive exercise stress electrocardiography (ST segment depression > or = 1 mm) and coronary arteriography were studied. Thirty-three patients had significant CAD, and 34 had normal coronary arteriograms. The results showed that the Treadmill Score Method, utilising both ST and non-ST segment variables, had the highest accuracy in predicting disease. The predictive power of all 3 methods was lower in females.

摘要

为评估运动负荷心电图中3种既定分析方法无创检测冠状动脉疾病(CAD)的能力,我们对67例连续患者进行了研究,这些患者均有典型心绞痛、运动负荷心电图阳性(ST段压低≥1mm)且接受了冠状动脉造影。33例患者患有严重CAD,34例冠状动脉造影正常。结果显示,同时利用ST段和非ST段变量的平板运动评分法在预测疾病方面具有最高的准确性。所有3种方法在女性中的预测能力均较低。

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