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冠心病心电图诊断与冠脉造影结果的对比研究

A comparative analysis of coronary angiography and electrocardiography on patients with coronary artery disease

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【作者】 田晓虹陈红陈朱夏丽婵吴晔良

【Author】 Tian Xiaohong, Chen Hong, Chen zhu. et al. Electrocardiography lab, the Second People’s Hospital of Shenzhen, Shenzhen, 518029,China

【机构】 深圳市第二人民医院心电图室深圳市第二人民医院心电图室

【摘要】 目的探讨有典型心前区疼痛和高血压史患者的心电图ST-T改变与冠状动脉造影结果的相关性。方法对80例有典型心前区疼痛史伴心电图ST-T改变,临床拟诊断冠心病患者的冠状动脉造影结果进行回顾性分析,其中男44例,女36例,年龄35~78岁。结果80例患者中冠状动脉造影阳性(冠状动脉狭窄直径≥50%)39例(48.75%),阴性41例(51.25%);冠心病组39例患者中,心电图ST-T改变29例(74.36%),非冠心病组41例患者中,心电图ST-T改变20例(48.78%)。结论临床依据心电图ST-T改变诊断冠心病应慎重。

【Abstract】 Objective To investigate the relationship between the change of electrocardiography and the result of coronary angiography on patients with typical angina and hypertension. Methods Eighty patients with typical angina and ST-T change were analyzed retrospectively. All of them had received coronary angiography. there are 44 males and 36 females. Results The result of coronary angiography were positive in 39 patients(48.75%) and negative in 41 patients(51.25%). In 39 patients of CAD, there were ST-T change in 29 patients(74.36%). Meanwhile, in 41 patients of non-CAD, there were 20 patients had ST-T change(48.78%). Conclusion It should be cautious to diagnose CAD by ECG only.

【关键词】 冠心病冠状动脉造影诊断
【Key words】 coronary artery diseasecoronary angiographydiagnose
  • 【文献出处】 临床心电学杂志 ,Journal of Clinical Eletrocardiology , 编辑部邮箱 ,2006年04期
  • 【分类号】R541.4
  • 【被引频次】16
  • 【下载频次】116
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