[1]陈 珊.心电图与冠状动脉造影诊断冠心病的价值分析[J].医学信息,2018,31(24):126-127.[doi:10.3969/j.issn.1006-1959.2018.24.036]
　CHEN Shan.Value of Electrocardiogram and Coronary Angiography in the Diagnosis of Coronary Heart Disease[J].Journal of Medical Information,2018,31(24):126-127.[doi:10.3969/j.issn.1006-1959.2018.24.036]
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心电图与冠状动脉造影诊断冠心病的价值分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年24期
页码:
126-127
栏目:
诊疗技术
出版日期:
2018-12-15

文章信息/Info

Title:
Value of Electrocardiogram and Coronary Angiography in the Diagnosis of Coronary Heart Disease
文章编号:
1006-1959（2018）24-0126-02
作者:
陈 珊
九江市柴桑区人民医院内一科，江西 九江 332100
Author(s):
CHEN Shan
Department of Internal Medicine,Subject One,People's Hospital of Chaisang District,Jiujiang 332100,Jiangxi,China
关键词:
冠状动脉造影; 冠心病; ST-T改变; 心电图
Keywords:
Coronary angiography; Coronary heart disease; ST-T change; Electrocardiogram
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2018.24.036
文献标志码:
A
摘要:
目的 探讨心电图检查与冠状动脉造影检查在冠心病患者中的诊断价值。方法 选取2016年10月~2018年10月于九江市柴桑区人民医院住院的疑似冠心病患者110例，所有患者行常规心电图和冠状动脉造影检查，比较心电图检查结果和冠状动脉造影结果。结果 ①ST-T改变在心电图中诊断率为65.45%，高于冠状动脉造影检查的60.91%，二者比较，差异无统计学意义（P＞0.05）；②冠状动脉造影检查确诊冠心病患者67例。其中ST-T改变诊断率为58.21%，高于非ST-T改变的41.79%，ST-T改变在确诊冠心病方面优于非ST-T改变，差异具有统计学意义（P＜0.05）。结论 冠状动脉造影检查仍是临床确诊冠心病的首选方法，心电图ST-T改变能够为早期冠心病诊断方面提供依据，临床确诊还需结合冠状动脉造影等相关检查。
Abstract:
Objective To investigate the diagnostic value of electrocardiogram and coronary angiography in patients with coronary heart disease.Methods A total of 110 patients with suspected coronary heart disease who were admitted to the People's Hospital of Chaisang District, Jiujiang City from October 2016 to October 2018 were enrolled. All patients underwent routine electrocardiogram and coronary angiography, and the results of ECG and coronary angiography were compared.Results ①The diagnostic rate of ST-T changes in electrocardiogram was 65.45%, which was higher than 60.91% in coronary angiography. There was no significant difference between the two (P>0.05). ②Coronary angiography confirmed 67 patients with coronary heart disease. Among them, the diagnosis rate of ST-T change was 58.21%,Compared with non-ST-T changes of 41.79%, ST-T changes were superior to non-ST-T changes in the diagnosis of coronary heart disease,the difference was statistically significant (P<0.05).Conclusion Coronary angiography is still the first choice for clinical diagnosis of coronary heart disease. ECG ST-T changes can provide a basis for the diagnosis of early coronary heart disease. Clinical diagnosis is also required to be combined with coronary angiography.

参考文献/References:

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更新日期/Last Update: 2019-01-09