Correlation analysis associated with Holter electrocardiogram and treadmill exercise test in diagnosis of coronary artery disease

VernacularTitle:动态心电图与平板运动试验诊断冠心病的价值分析
Author: Weihong LV ; Huiqing WANG ; Feng GAO
Publication Type:Journal Article
Keywords: Holter electrocardiogram; Treadmill exercise tests; Coronary arteriography; Coronary artery disease
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(1):79-80
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnostic value of treadmill exercise tests (TET), Hoher electro-cardiogram in coronary artery disease(CAD) patients. Methods 144 patients who clinically diagnosed as CAD,un-derwent TET and Hoher electrocardiogram. Then the patients with the positive results were examined by coronary arte-riography(CAG). According to the results of CAG the diagnostic value of TET and Hoher electrocardiogram was per-formed with comparative analysis. Results The sensitivity, specificity and evaluated accuracy rates of TET were 93.3% ,72. 2% and 73. 8% respectively. But the sensitivity,specificity and positive evaluated accuracy rates of Hol-ter electrocardiogram to examine myocardial iachemia were 76.7%, 88.4%, 57.1%. Conclusions The combined examination of TET and Holter electrocardiogram could preliminarily estimate the stenosis site of coronary artery. For the patients with unconditional GAG, those two examinations could increase the diagnostic reliability of positive rate of myocardial isehemia, and on this basis to enhance the diagnostic level of the stenosis site of coronary artery.