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目的分析冠状动脉(冠脉)造影(CAG)阳性患者CAG与平板运动试验(TET)结果,评价在冠心病诊断中的价值。方法回顾分析2009年1月至2010年1月住院行CAG确诊冠心病并于CAG前1周内行TET检查的69例患者,对比CAG与TET结果。结果①69例CAG阳性患者中,TET阳性42例(60.9%),可疑6例(8.7%),阴性21例(30.4%);②TET阳性患者冠脉病变较重,且多为多支病变。结论 TET在评价心肌缺血及诊断冠心病时简便经济,有较高的敏感度,是目前诊断冠心病常用检查方法之一。
Objective To analyze the results of CAG and treadmill exercise test (TET) in patients with coronary artery (CAG) positive and evaluate the value of coronary artery disease in the diagnosis of coronary heart disease. Methods A retrospective analysis of 69 patients with coronary artery disease diagnosed by CAG in hospital from January 2009 to January 2010 and TET in the first week before CAG was performed to compare the results of CAG and TET. Results ① Among 69 CAG positive patients, 42 (60.9%) were TET positive, 6 (8.7%) were suspicious and 21 (30.4%) negative. (2) The coronary lesions in TET positive patients were severe and mostly multifocal. Conclusion TET is a simple, economical and sensitive method for the assessment of myocardial ischemia and coronary heart disease. It is one of the common diagnostic methods for the diagnosis of coronary heart disease.