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| The diagnostic value of treadmill exercise testing in male patients and female patients before or after menopause with coronary artery disease |
| YU Ting |
| (Department of Electrophysiological,Yangzhou NO.1 People’s Hospital,Yangzhou Jiangsu 225001, China) |
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Abstract Objective To study the diagnostic value and characteristics of treadmill exercise testing(TET) in male patients and female patients before or after menopause with coronary artery disease(CAD). [WTHZ]MethodsOne hundred and sixtytwo patients who were proposed to diagnose with coronary artery disease and coronary angiography were performed treadmill exercise testing.Male patients as group A, female patients after menopause as group B, female patients before menopause as group C, analyze and contrast the results of TET and CAG. [WTHZ]Results[WT]The positive rate of TET for the diagnosis of CAD was 74.7％,the negative rate is 76％,sensitive rate is 78.3％, the specificity rate is 72.2％, the accuracy rate is 75.3％. The difference of diagnosis rate between aftermenopause patients and male patients was nonstatistical significance. The diagnosis rate of aftermenopause patients and male patients was higher than the diagnosis rate of beforemenopause patients. The difference of diagnosis rate between aftermenopause patients with male patients and beforemenopause was statistical significance. The TET Ⅱ、Ⅲ lead aVF ST segment change those criminals are right coronary artery vessels,lead V1～V6 ST segment change those criminals blood vessels are left anterior descending coronary artery.Conclusion The TET is an important means of diagnosing coronary artery disease and can judge the places of the criminal vascular preliminary. The diagnosis of female patients before or after menopause with coronary artery disease should be cautiously.
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2015, Vol. 24 
