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学科主题临床医学
Coronary heart disease diagnosis bases on the change of different parts in treadmill exercise test ECG
Sun Jian-ling1; Zhao Ying2; Gao Yu-lian3; Xiong Li-juan3; Guo Ji-hong4; Li Xiao-ying5
关键词Treadmill Exercise Test Coronary Disease Coronary Arteriography
刊名CELL BIOCHEMISTRY AND BIOPHYSICS
2013-12-01
DOI10.1007/s12013-013-9591-y
67期:3页:969-975
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Biochemistry & Molecular Biology ; Biophysics ; Cell Biology
研究领域[WOS]Biochemistry & Molecular Biology ; Biophysics ; Cell Biology
英文摘要

Summarize the value of the change of different parts in treadmill exercise test (TET) ECG to coronary heart disease (CHD) diagnosis. Four hundred and forty-five cases have been included in this investigation, which stayed in our hospital from January of 2006 to March of 2011 and underwent TET and coronary arteriography (CAG). The change of different parts in TET ECG in these patients had been retrospective summarized to determine its diagnosis value to CHD. (1) In the 445 cases of TET testers, 200 cases showed positive in TET with 150 cases of positive CAG, and 50 cases of negative CAG; 245 cases showed negative in TET with 206 cases of negative CAG, and 39 cases of positive CAG. The diagnosis sensitivity of CHD was 79.36 % (150/189), the specificity was 80.47 % (206/256), positive prediction value was 75.00 % (150/200), negative prediction value was 84.08 % (206/245), and false-positive rate was 25.00 % (50/200) with prediction accuracy of 80.00 % (356/445). (2) In the 200 cases with positive TET: 51 cases were in the limb lead group; 73 cases were in the chest lead group; and 76 cases were in the limb lead + chest lead group. There were 150 cases showing positive in CAG: 22 cases were in the limb lead group; 58 cases were in the chest lead group; and 70 cases were in the limb lead + chest lead group. The positive diagnosis rate of ST change in the chest lead was obviously higher than that of simple limb lead group (P < 0.05). (3) People with healthy coronary artery will have decreased amplitude of R wave while patients with coronary stenosis have elevated amplitude of R wave. (4) As for the T wave, the positive CAG had no statistical significance between normal T wave group and TET positive group (P > 0.05); CAG results had statistical significance between normal T wave group and TET negative group (P < 0.05). (5) Positive CAG results had no statistical significance between U-wave inversion group and TET positive group (P > 0.05); positive CAG results has statistical significance when TET negative group compared with U-wave inversion group or TET positive group (P < 0.05). TET is a relatively idea invasive diagnosis method for coronary disease, which can be utilized to evaluate the stage of CHD when integrating with the change of TET ECG.

语种英语
WOS记录号WOS:000327455400020
Citation statistics
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57131
Collection北京大学第二临床医学院_心血管内科
作者单位1.Aviat Gen Hosp, Dept Cardiol, Beijing 100012, Peoples R China
2.Aviat Gen Hosp, Dept Geratol, Beijing 100012, Peoples R China
3.Aviat Gen Hosp, Dept Gynecol Oncol, Beijing 100012, Peoples R China
4.Peking Univ, Peoples Hosp, Dept Cardiol, Elect Grp, Beijing 100044, Peoples R China
5.Dept Geriatr Cardiol, Chinese Peoples Liberat Army Gen Hosp, Beijing 100853, Peoples R China
Recommended Citation
GB/T 7714
Sun Jian-ling,Zhao Ying,Gao Yu-lian,et al. Coronary heart disease diagnosis bases on the change of different parts in treadmill exercise test ECG[J]. CELL BIOCHEMISTRY AND BIOPHYSICS,2013,67(3):969-975.
APA Sun Jian-ling,Zhao Ying,Gao Yu-lian,Xiong Li-juan,Guo Ji-hong,&Li Xiao-ying.(2013).Coronary heart disease diagnosis bases on the change of different parts in treadmill exercise test ECG.CELL BIOCHEMISTRY AND BIOPHYSICS,67(3),969-975.
MLA Sun Jian-ling,et al."Coronary heart disease diagnosis bases on the change of different parts in treadmill exercise test ECG".CELL BIOCHEMISTRY AND BIOPHYSICS 67.3(2013):969-975.
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