超声心动图、动态心电图和平板运动试验在冠心病诊断中的联合应用
Combined application of echocardiography,holter electrocardiogram and treadmill exercise test in the diagnosis of coronary heart disease
高春玲1
作者信息
- 1. 河西学院附属张掖人民医院超声科,张掖 734000
- 折叠
摘要
目的 探讨超声心动图、动态心电图和平板运动试验联合检测在冠心病诊断中的临床应用价值.方法 选取 70 例疑似冠心病患者,分别进行平板运动试验、动态心电图、超声心动图及冠脉造影.通过ROC曲线分析各方法的诊断效能,并计算灵敏度、特异度及AUC值.结果 三种方法的单独检测AUC值分别为0.796(平板运动试验)、0.737(动态心电图)和 0.773(超声心动图),联合检测AUC为 0.826.结论 联合检测可显著提高冠心病的诊断准确性,灵敏度和特异度均高于单一检测,建议临床中广泛应用.
Abstract
Objective To explore the clinical application value of combined detection of echocardiography,dynamic electrocardiogram,and plate exercise test in the diagnosis of coronary heart disease.Methods 70 suspected coronary heart disease patients were selected and subjected to plate exercise test,dynamic electrocardiogram,echocardiography,and coronary angiography.Analyze the diagnostic performance of each method through ROC curve,and calculate sensitivity,specificity,and AUC values.Results The individual detection AUC values of the three methods were 0.796(plate exercise test),0.737(dynamic electrocardiogram),and 0.773(echocardiogram),respectively,and the combined detection AUC was 0.826.Conclusion Combined detection can significantly improve the diagnostic accuracy of coronary heart disease,with higher sensitivity and specificity than single detection.It is recommended to widely apply it in clinical practice.
关键词
冠心病/超声心动图/动态心电图/平板运动试验/联合检测Key words
coronary heart disease/echocardiography/dynamic ECG/flat exercise test/joint testing引用本文复制引用
出版年
2024
NETL
NSTL
万方数据