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心电图检查在冠心病诊断中的临床价值

郝翠平

国际医药卫生导报2016,Vol.22Issue(13):1891-1893,3.
国际医药卫生导报2016,Vol.22Issue(13):1891-1893,3.DOI:10.3760/cma.j.issn.1007-1245.2016.13.020

心电图检查在冠心病诊断中的临床价值

The clinical value of ECG in the diagnosis of coronary heart disease

郝翠平1

作者信息

  • 1. 463000 驻马店市第一人民医院心内科
  • 折叠

摘要

Abstract

Objective To study the correlation between electrocardiogram (ECG) and coronary angiography in patients with coronary heart disease,and analyze the value of electrocardiogram in the diagnosis of coronary heart disease.Methods Retrospectively analyzed the clinical data of 116 patients with suspected coronary heart disease,with coronary angiography results as golden standard for diagnosing,analyzed the accuracy of ECG in diagnosis of coronary heart disease.Evaluated the severity degree of coronary atherosclerosis with Gensini score,analyzed the correlation between ECG and coronary heart disease.Results In 116 cases of suspected coronary heart disease,87 patients were diagnosed by coronary angiography.In the diagnosis of coronary heart disease by ECG,the sensitivity was 78.16%,the specificity was 68.96%,the positive predictive value was 77.27%,and the negative predictive value was 32.14%.But the positive rate of ECG was higher in patients with moderate and severe coronary heart disease than that in patients with mild coronary heart disease,with statistically significant differences among three groups (P<0.05).Conclusion There was certain correlation between electrocardiographic abnormality and the severity of coronary artery disease,coronary angiography has significant clinical value in the diagnosis of coronary heart disease for patients with suspected coronary heart disease.

关键词

冠状动脉造影/心电图/冠心病/诊断

Key words

Coronary angiography/Electrocardiogram/Coronary heart disease/Diagnosis

引用本文复制引用

郝翠平..心电图检查在冠心病诊断中的临床价值[J].国际医药卫生导报,2016,22(13):1891-1893,3.

国际医药卫生导报

1007-1245

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