我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

头胸导联心电图对冠心病诊断价值的分层分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第6期
页码:
542-544
栏目:
临床研究
出版日期:
2003-11-01

文章信息/Info

Title:
Layer analysis of the diagnostic value of head chest lead ECG for coronary heart disease
作者:
朱梅; 栾荣华; 郭文怡; 贾国良
第四军医大学西京医院心内科, 陕西 西安 710032
Author(s):
ZHU Mei;  LUAN Rong-hua;  GUO Wen-yi;  JIA Guo-liang
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi 710032, China
关键词:
心电描记术;  头胸导联; 心电描记术; 冠状动脉疾病
Keywords:
head chest lead electrocardiography;  Wilson lead electrocardiography;  coronary disease
分类号:
R540.41;R541.4
DOI:
-
文献标识码:
A
摘要:
目的:分层分析比较头胸导联心电图(头胸ECG) 和常规导联心电图(常规ECG) 对冠心病的诊断价值。方法:对110例行选择性冠状动脉造影(CAG)的疑诊冠心病患者, 使用头胸导联心电图机和常规导联心电图机非同步记录头胸ECG和常规ECG图形, 由专业人员盲法分析其结果, 并对结果进行进一步的分层分析, 评价二种方法对冠心病的诊断价值。结果: 头胸ECG 诊断冠心病的灵敏度、特异度和准确度分别为72% , 50% , 69%。常规ECG 诊断冠心病的灵敏度、特异度和准确度分别为45%, 43%, 45%。头胸ECG诊断冠心病的灵敏度、准确度均显著高于常规ECG(均为P<0.01) , 二者诊断冠心病的特异度无显著性差异(P>0.05)。分层分析显示头胸ECG及常规ECG对冠心病诊断的灵敏度与冠状动脉病变的程度、范围显著相关, 头胸ECG对右室心肌缺血诊断优于常规ECG。结论: 头胸ECG 诊断冠心病较常规ECG 更有价值。
Abstract:
AIM: To compare the diagnostic value of head chest lead electrocardiogram (HCECG) with that of Wilson lead elect rocardiogram (Wilson ECG) for coronary heart disease (CHD). METHODS: Morphological changes in HCECG and Wilson ECG of 110 suspected CHD patients were recorded before they underwent coronary angiography. The results were evaluated by specialists and further analyzed by layer analysis. RESULTS: The sensitivity, specificity and accuracy of HCECG and Wilson ECG were 72%, 50%, 69% and 45%, 43% and 45% respectively (P<0.01, P>0.05, P<0 01, respectively). The sensitivity and accuracy of HCECG were significantly higher than those of Wilson ECG, but the difference in specificity between them was not statistically significant. Layer analysis showed that the sensitivity of HCECG and Wilson ECG were highly correlated to the extent and range of coronary lesion, and that HCECG was better than Wilson ECG in detecting right ventricu lar ischemia. CONCLUSION: Compared with Wilson ECG, HCECG is a more valuable diagnostic method for CHD.

参考文献/References

[1] 尹炳生. 头胸(HC) 导联简介 [J] . 心电学杂志, 1988, 7(2):133.

[2] 全国HC导联应用与理论研究协作组. HC导联诊断参考标准 [C] . 全国首届新导联应用与新假说研究专题学术会议论文集, 广州. 1988.70.

[3] 卢喜烈. 现代心电图诊断大全 [M] . 北京: 科学技术文献出版社, 1996. 112-114, 344-347.

[4] Cohn PF. Diagnostic accuracy of two-step post-ecercise ECE. Results in 305 subjects studied by coronary ateriography [J] . J Am Med Assoc, 1992, 220:501.

[5] 李益民, 易云苏, 胡大一, 等. 正常人头胸导联心电图的特征 [J] . 现代诊断与治疗, 1996, 7(4):202.

[6] 王国英, 李崇信, 刘伊丽, 等. 头胸导联对冠心病的诊断价值 [J] . 心功能杂志, 1996, 8(4):262.

备注/Memo

备注/Memo:
收稿日期：2002-11-18.
更新日期/Last Update: 2003-11-01