Diagnostic value of treadmill exercise test and its Duke score in menopausal women with coronary heart disease
10.3969/j.issn.1008-0074.2015.04.28
- VernacularTitle:平板运动试验及其 Duke 评分诊断绝经期女性冠心病的价值
- Author:
Chunlin REN
;
Mei ZHU
;
Shengli HU
- Publication Type:Journal Article
- Keywords:
Exercise test;
Coronary disease;
Menopause
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(4):445-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnostic value of treadmill exercise test (TET)and its Duke score in menopa-usal female patients with coronary heart disease (CHD).Methods:A total of 102 menopausal female patients re-ceived TET and coronary angiography (CAG)examination.With CAG as control,accuracy indexes etc.of TET combined Duke score diagnosing coronary artery disease in these patients were compared and analyzed.Results:Compared with single application of TET or Duke score,there were significant rise in specificity (27.12% vs. 30.50% vs.44.44%),positive predictive value (47.56% vs.46.75% vs.54.55%),negative predictive value (80%vs.72% vs.90.91%)and accuracy (53.92% vs.52.94% vs.64.94%)diagnosing CHD by TET combined Duke score both positive and negative,P <0.05 all;but there was no significant difference in sensitivity,P >0.05 both. There was no significant difference in CHD diagnosis between single use of TET and Duke score,P >0.05 all.Con-clusion:False positive rate of treadmill exercise test is higher in menopausal women.Treadmill exercise test com-bined Duke score is helpful to improve specificity,positive predictive value,negative predictive value and accuracy of the test.
