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|本期目录/Table of Contents|

运动SP／ESVI在冠心病诊断中的应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1994年第4期
页码:
201-204
栏目:
论著
出版日期:
1994-10-01

文章信息/Info

Title:
Exercise peak systolic pressure／end-systolic volume index ratio in diagnosing coronary disease
作者:
秦建新1 张荣华1 刘伊丽1 龚渭冰2
第一军医大学南方医院 1心血管内科 2超声心动图室 广州 510515
Author(s):
Qin Jianxin; Zhang Ronghua; Liu Yiliand Gong Weibing
Cardiovascular Department，Nanfang Hospital，Guangzhou 510515
关键词:
冠状动脉疾病; 超声心动图; 运动试验
Keywords:
coronary artery disease; two-dimensional echocardiography; exercise test
分类号:
-
DOI:
-
文献标识码:
-
摘要:
本文应用二维超声心动图(ECHO)卧位踏车运动试验方法，测定正常人和冠心病人运动前后的峰值收缩压与左室收缩末容量指数的比值(SP／ESVI)及左室射血分数(LVEF)的变化(△SP／ESVI和△LVEF)。结果显示△SP／ESVI和△LVEF的敏感性分别为90％和65％(P<0.05)，特异性分别为57％和62％(P>0.05)，准确性分别为68％和63％(P>0.05)。初步认为运动SP／ESVI是ECHO诊断冠心病的一种较LVEF变化更敏感的指标。
Abstract:
The changes of the rest and exercise peak systolicpressure／end—systolic volume index ratio(△SP／ESVI)and left ventricular ejection fraction(△LVEF)were determined by exercise twodlmensional echocardiography in pattents Witn coronary artery disease and nomal subjects betore and alter exercise．The results revealed that the sensitivity of△SP／ESVI and LVEF was 90％and 65％(bothP<0.05),the specificity was 57％and 62％(both P>0.05)and the accuracy was 68％and 63％(both P>0.05)，respectively．It was concluded that △SP／ESVI was a more sensitive index than△LVEF in detecting coronary artery disease by two-dimensional echocardiography．

参考文献/References

［1］Ginzton LE，Laks MM，Brizendine，M．et al.Noninvasive measurement of the rest and exercise peak systolic pressure／end-systolic volume ratio：A Sensitive two-dimensional echocardiographic indicator of left ventricular function．J Am Coll Cardiol 1984；4(3)：509.

［2］Ryan T，Vasey CG，Presti CF,et al.Exercise echocardiography:LDetection of coronary artery disease in patients with normal left ventricular wall motion at rest.J Am Coll Cardiol 1988;ll:993.

［3］秦建新，刘伊丽，龚渭冰，等．运动超声心动图测定左室功能在冠心病中的初步应用．中国超声医学杂志 1992；8(1)：32.

［4］Weyman AE & Doty WD．Left ventricle．In：Weyman AE,ed．Cross-sectional echocardiography．Philadelphia：Lea & Febiger,1982；283～2975.

［5］Silber EN．Heart disease．2nd ed．New York：MacMillan Publishing Co．1987：94～1l7.

备注/Memo

备注/Memo:
Received 1992-10-31
更新日期/Last Update: 1994-10-01