首页|动态心电图与常规心电图对无症状性冠心病的诊断效果比较

动态心电图与常规心电图对无症状性冠心病的诊断效果比较

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目的 比较动态心电图与常规心电图诊断无症状性冠心病的效能.方法 选取2020年1月至2023年1月我院收治的疑似冠心病患者100例,均给予常规心电图检查及动态心电图检查.以冠状动脉造影检查结果为依据,比较动态心电图、常规心电图的诊断效能.结果 常规心电图与冠状动脉造影检查结果的一致性一般(Kappa值=0.741,P<0.001),动态心电图与冠状动脉造影检查结果的一致性较好(Kappa值=0.923,P<0.001).动态心电图诊断无症状性冠心病的灵敏度、特异度、准确率均显著高于常规心电图(P<0.05).结论 动态心电图较常规心电图诊断无症状性冠心病具有更高的效能,可降低误诊、漏诊风险.
Comparison on the Diagnostic Effects of Dynamic Electrocardiogram and Routine Electrocardiogram on Asymptomatic Coronary Heart Disease
Objective To compare the efficiencies of dynamic electrocardiogram and routine electrocardiogram in the diagnosis of asymptomatic coronary heart disease.Methods A total of 100 patients with suspected coronary heart disease admitted to our hospital from January 2020 to January 2023 were selected.All cases were examined by routine electrocardiogram and dynamic electrocardiogram.Based on the results of coronary angiography,the diagnostic efficiencies of dynamic electrocardiogram and routine electrocardiogram were compared.Results The consistency between routine electrocardiogram and coronary angiography results was general(Kappa value=0.741,P<0.001),and the consistency between dynamic electrocardiogram and coronary angiography results was good(Kappa value=0.923,P<0.001).The sensitivity,specificity and accuracy of dynamic electrocardiogram in the diagnosis of asymptomatic coronary heart disease were significantly higher than those of routine electrocardiogram(P<0.05).Conclusions Dynamic electrocardiogram has higher efficiency than routine electrocardiogram in the diagnosis of asymptomatic coronary heart disease,which can reduce the risk of misdiagnosis and missed diagnosis.

Asymptomatic coronary heart diseaseDynamic electrocardiogramRoutine electrocardiogramDiagnostic efficiency

杨淇惠、郭华、金峰

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河南省直属机关第一门诊部心电图室,河南郑州 450003

郑州大学第一附属医院物理诊断科,河南郑州 450052

河南省直属机关第一门诊部心内科,河南郑州 450003

无症状性冠心病 动态心电图 常规心电图 诊断效能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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