Comparative analysis between results of treadmill exercise test and coronary angiography among patients with coronary heart disease
JIANG Yuan-Yuan, CHU Wei
(Heart Function Room, Department of Cardiology, Research Institute of Surgery, Daping Hospital Affiliated to the Third Military Medical University, Chongqing 400042, China)
Abstract：Objective To explore the clinical significance of positive results of treadmill exercise test(TET) in diagnosing coronary heart disease, by comparing with those of coronary angiography(CAG).Methods One hundred and twenty-eight patients with suspected coronary heart disease underwent TET and CAG separately. The results of two kinds of testings were comparatively analysed. Results For the diagnosis of coronary heart disease, the sensitivity and specificity of TET was 88.76% and 61.54%, respectively. For male patients with coronary heart disease, the sensitivity and specificity of TET was 96.92% and 71.43%, respectively, both significantly higher than those of female patients, with statistically significant difference. In diagnosing coronary heart disease patients with multivessel coronary artery lesions, the true positive rate was higher than that of patients with single vessel disease, and the difference was statistically significant. Conclusion Although there might be false positive or false negative results, TET still proves to have relatively high sensitivity and specificity in diagnosing coronary heart disease. It worths of being promoted clinically for its safety, non-invasiveness, convenience, economy and other advantages.
江媛媛, 储伟. 冠心病患者平板运动试验与冠脉造影结果对比分析[J]. 实用心电学杂志, 2015, 24(3): 185-187.
JIANG Yuan-Yuan, CHU Wei. Comparative analysis between results of treadmill exercise test and coronary angiography among patients with coronary heart disease. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2015, 24(3): 185-187.
[1] Fox K, Garcia MA, Ardissino D, et al. Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology[J]. Eur Heart J, 2006, 27(11)：1341-1381.[2] [JP3]Lai S, Kaykha A, Yamazaki T, et al. Treadmill scores in elderly men[J]. J Am Coll Cardiol, 2004, 43(4)：606-615.[3] Peteiro J, BouzasMosquera A, Broullón FJ, et al. Prognostic value of peak and postexercise treadmill exercise echocardiography in patients with known or suspected coronary artery disease[J]. Eur Heart J,2010, 31(2)：187-195.[4] 邵名亮, 曹蘅, 柯永胜. 冠状动脉造影与活动平板运动试验对比分析[J].中外医疗, 2009, 28(7)：34-35.[5] 毛洁. 平板运动试验与冠状动脉造影结果对照分析[J]. 医药前沿, 2011(11)：59-60.
2015, Vol. 24 
