Research on the differences in clinical diagnosis of coronary heart disease by using coronary angiography gold standards and conventional diagnosis techniques
10.3969/j.issn.1009-0754.2015.04.010
- VernacularTitle:冠状动脉造影金标准与临床常规诊断冠心病差异性比较研究
- Author:
Rongwen SHU
1
;
Qingjun KONG
;
Yong ZHONG
;
Zheyong HUANG
;
Yongping PENG
;
Jianbin GONG
;
Lijun WANG
;
Xiaowei ZHU
Author Information
1. 南京军区南京总医院干部保健科
- Keywords:
Coronary angiography;
Electrocardiogram;
Coronary heart disease;
Diagnosis
- From:
Journal of Navy Medicine
2015;(4):311-314
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the reliability of conventional clinical diagnosis of coronary heart disease (CHD),as com-pared with the coronary angiography gold standards,and also to analyze reasons for CHD misdiagnosis.Methods A total of 3355 pa-tients clinically confirmed or suspected of CHD underwent coronary angiography,and the results obtained were compared with the clini-cal data.Results Generally,the positive rate of coronary angiography was 75.26%(2525 /3355).The clinically diagnostic accuracies in patients with myocardial infarction,unstable angina pectoris,stable angina pectoris and suspected CHD were 93.85%(397 /423), 79.88%(536 /671),74.89%(1366 /1824)and 51.72%(226 /437)respectively.With regard to the rate of diagnostic conformity,the patients with myocardial infarction ranked the first in diagnostic rate,and statistical significance could be seen,when comparisons were made with the other 3 groups(P <0.05 or P <0.01).Then came the patients with unstable angina pectoris and stable angina pectoris, and statistical significance could also be found,when compared with the patients with suspected CHD(P <0.05).Conclusion Coro-nary heart disease (CHD),especially suspected CHD,had relatively high rate of misdiagnosis clinically.For this reason,it was advis-able to perform coronary angiography and the said disease could be identified in time.
