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目的探讨平板运动试验对女性冠心病的诊断价值。方法对77例平板运动试验阳性的女性患者行冠状动脉造影检查,对结果进行回顾性分析。结果冠状动脉造影阳性48例(62.33%),阴性29例(37.67%)。阳性患者中单支病变10例,双支病变25例,多支病变13例。有胸痛症状者45例,冠状动脉造影阳性40例;无明显症状者32例,冠状动脉造影阳性8例。结论女性平板运动试验结果中,无临床症状者假阳性较多,有危险因素和临床症状者,平板运动试验阳性与冠状动脉造影阳性结果的符合率较高。
Objective To investigate the diagnostic value of treadmill exercise test in women with coronary heart disease. Methods Totally 77 female patients with positive treadmill exercise test underwent coronary angiography. The results were retrospectively analyzed. Results Coronary angiography was positive in 48 cases (62.33%), negative in 29 cases (37.67%). Positive patients in 10 cases of single-vessel disease, double-vessel disease in 25 cases, multi-vessel disease in 13 cases. There were 45 cases of chest pain symptoms, 40 cases of coronary angiography positive; 32 cases without obvious symptoms, coronary angiography in 8 cases. Conclusion There are more false positives in the results of the treadmill exercise test without clinical symptoms. The patients with the risk factors and clinical symptoms have a higher coincidence rate of positive treadmill exercise test and coronary angiography.