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头胸导联心电图诊断冠心病的价值(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第5期
页码:
440-442
栏目:
临床研究
出版日期:
2003-09-01

文章信息/Info

Title:
Diagnostic value of head chest lead ECG on coronary heart disease
作者:
杨新文; 栾荣华; 贾国良; 郭文怡
第四军医大学西京医院心内科, 陕西 西安 710032
Author(s):
YANG Xin-wen;  LUAN Rong-hua;  JIA Guo-liang;  GUO Wen-yi
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi 710032, China
关键词:
心电描记术; 常规; 心电描记术; 头胸导联; 冠状动脉疾病
Keywords:
wilson lead electrocardiography;  head chest lead electroardiography;  coronary disease
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:比较Wilson导联心电图(常规ECG)和头胸导联心电图(HCECG)对冠心病的诊断价值。方法: 在143例经选择性冠状动脉造影(CAG)患者中, 确诊的冠心病患者129例.分别使用常规心电图机和头胸导联心电图机非同步记录常规ECG和HCECG 图形, 由专业人员盲法分析其结果, 评价二种方法对冠心病的诊断价值。结果:常规ECG 诊断冠心病的灵敏度、特异度和准确度分别为59%, 57% , 57%。HCECG诊断冠心病的灵敏度、特异度和准确度分别为79%, 50%, 76%。HCECG均显著高于常规ECG(P<0.01)。结论: HCECG 对冠心病的诊断价值明显高于常规ECG。
Abstract:
AIM: To compare the diagnostic value of electrocardiogram (ECG) and head chest lead electrocardiogram (HCECG) for coronary heart disease (CHD). METHODS: In 143 patients, there were 129 CHD patients who were confirmed by coronary angiography. Changes of morphology of ECG and HCECG were recorded and analyzed by specialist. Diagnostic value of two electrocardiographic methods was evaluated. RESULTS: Sensitivities of ECG and HCECG were respectively 59%, 79%; specificity were respectively 57%, 50%; and accuracy were respectivily 57%, 76%. Sensitivity, Specificity and accuracy of HCECG were significantly higher than that of ECG.(P<0.01, respectively). CONCIUSION: HCECG is a more valuable diagnostic method for CHD.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2002-11-22.
更新日期/Last Update: 2003-09-01