摘要
目的评价运动心电图试验（ＥＥＴ）、心肌灌注单光子发射计算机断层显像（ＳＰＥＣＴ）、多巴酚丁胺负荷超声心动图（ＤＳＥ）对冠心病的诊断价值。方法选择６４例冠状动脉造影（ＣＡＧ）检查的患者，并在同期内（间隔＜２周）接受ＥＥＴ、ＳＰＥＣＴ和ＤＳＥ检查。将ＣＡＧ结果分别与ＥＥＴ、ＳＰＥＣＴ和ＤＳＥ结果进行对比分析。结果这三种无创性检查诊断冠心病的敏感性分别为：７７．１％、９４．３％和９１４％；特异性分别为：７２．４％、７５．９％和８９．６％，准确性分别为：７１．９％、８５．９％和９０．６％。结论ＤＳＥ对冠心病的诊断具有较高的敏感性和特异性，且费用较低，是一种安全、有效的检查方法。
Objective To investigate the diagnostic value of exercise electrocardiography test (EET), single photon emission computed tomography (SPECT) and dobutamine stress echocardiography (DSE) in coronary artery disease (CAD).Methods Sixty four patients were examined by coronary angiography (CAG), EET, SPECT and DSE. The duration of all methods was less than two weeks. CAG data were compared with EET, SPECT and DSE.Results The sensitivity in the diagnosis of CAD with EET, SPECT and DSE were 77.1%, 94 3% and 91.4%, respectively. The specificity were 72.4%, 75.9% and 89.6%, respectively. The accuracy rate were 71.9%, 85.9% and 90.6%, respectively.Conclusion In this study, DSE had a higher sensitivity and specificity, reached higher diagnostic accuracy and lower cost. It was a safe and effective methed.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1999年第2期105-106,共2页
Chinese Journal of Cardiology
关键词
冠心病
冠状动脉造影
心电图
诊断
DSE
coronary artery disease coronary angiography eclectrocardiography echocardiography
