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心得安食管心房调搏超声心动图复合试验对冠心病诊断价值的评价(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1997年第4期
页码:
221-223,226
栏目:
论著
出版日期:
1997-08-01

文章信息/Info

Title:
The diagnostic value of combined propanolol and tran sesophageal atrial stimulation with echocardiography in coronary artery disease
作者:
王明空　李春生　岳全廷　孙中华　柴青芬　徐红岩　王凤兰　胡淑贞
河南省平顶山市152 医院心内科　467000
Author(s):
Wang Mingkong ;  Li Chunsheng ;  Yue Quanting ;  Sun Zhonghua;  Chai Qingfn;  Xu Hongyan; Wang Feng lan;  Hu shuzheng
Hospital 152, PLA , Pingdingshan, Henan 467000
关键词:
冠状动脉疾病　越声心动描记术　普萘洛尔　心房调搏法
Keywords:
coronary disease　　echocardiography　　propranolol　　transesophageal atrial stimulation
分类号:
-
DOI:
-
文献标识码:
-
摘要:
以冠状动脉造影为标准, 对43例冠脉狭窄大于或等于50%的冠心病患者及17例冠脉狭窄小于50% 或腔径正常的临床可疑冠心病患者作为“正常”对照, 用心得安食管心房调搏超声心动图(TRAS-Prop-Echo) , 食管心房调搏超声心动图(TRAS-Echo) 和心得安食管心房调搏心电图(TRAS-Prop-ECG) 试验对冠心病的诊断价值进行评价。发现TRAS-Prop-Echo 的敏感性为93% , 特异性为94.1% , 准确性为97.6%; 而TRAS-Echo 及TRAS-Prop-ECG 的敏感性、特异性、准确性分别为93.0% 及83.7% , 76.5% 及76.0% , 90.9% 及90.0%。试验中未发现严重不良反应发生。结果显示TRAS-Prop-Echo 试验是安全、准确性较好的无创性冠心病诊断试验, 尤适用于年老体衰、肥胖及有生理缺陷不宜运动者。
Abstract:
the coronary artery angiography was used as the diagnostic standard of co ronary artery disease (CAD). There were 43 patients of CAD (whose coronary artery was narrowed more than 50% ) in first group. The 17 patients of clinical supposed CAD (whose coronary artery was narrowed less than 50% or whose luminal diameter was normal) were as second group“normal control”. the combined test of propanolol and tran sesophageal atrial stimulation with echocardiography (TRAS-Prop-Echo) , the combined test of transesophageal atrial stimulation with echocardiography (TRAS-Echo),and the combined test of propanolol and transesophageal atrial stimulation with electrocardiography (TRA S-Prop-ECG) are performed to assess the diagnostic value of CAD. We conclude that the sensitivity of TRAS-Prop-Echo is 93% , the specificity 94.1% , the accu racy 97. 6% , w h ile the sen sit ivity of

参考文献/References

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［4］Picano E,Lattanzi F,Masini M , et al. Comparison of the high-dose dipyridamole-echocardiography test and exercise two-dimensional echocardiography for diagnosis of coronary artery disease. Am J Cardiol, 1987; 59: 539.

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［6］刘一日韦.潘生丁试验对冠心病诊断价值的探讨. 中华心血管病杂志, 1986; 14 (4) : 215.

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备注/Memo

备注/Memo:
Received 1996-07-30；revised 1997-03-17
更新日期/Last Update: 1997-08-01