超声心动图和心电图联合检查诊断冠心病的临床价值
Clinical Value of Echocardiography Combined with Electrocardiogram in the Diagnosis of Coronary Heart Disease
高蓓 1元丽芝1
作者信息
- 1. 郑州大学附属郑州中心医院超声诊断科,河南 郑州 450007
- 折叠
摘要
目的 探讨超声心动图联合心电图检查诊断冠心病的临床价值.方法 110 例疑似冠心病患者均进行超声心动图、心电图检查,以冠状动脉造影结果作为诊断"金标准",对比不同检查方式的诊断效能以及一致性.结果 超声心动图联合心电图检查的准确度、灵敏度、阴性预测值均高于超声心动图、心电图单一检查(P<0.05).超声心动图联合心电图检查诊断冠心病的Kappa值为0.835,具有极好的一致性.结论 超声心动图联合心电图检查诊断冠心病的价值良好,临床可基于患者体征、临床症状表现优先给予超声心动图和心电图检查.
Abstract
Objective To explore the clinical value of echocardiography combined with electrocardiogram in the diagnosis of coronary heart disease.Methods A total of 110 patients with suspected coronary heart disease were examined by echocardiography and electrocardiogram.The results of coronary angiography were used as the"gold standard"for diagnosis,and the diagnostic efficacy and consistency of different examination methods were compared.Results The accuracy,sensitivity and negative predictive value of echocardiography combined with electrocardiogram were higher than those of echocardiography and electrocardiogram(P<0.05).The Kappa value of echocardiography combined with electrocardiogram in the diagnosis of coronary heart disease was 0.835,with excellent consistency.Conclusions The value of echocardiography combined with electrocardiogram in the diagnosis of coronary heart disease is good.Clinically,echocardiography and electrocardiogram can be given priority based on the patients'signs and clinical symptoms.
关键词
超声心动图/心电图/冠心病/冠状动脉造影/诊断Key words
Echocardiography/Electrocardiogram/Coronary heart disease/Coronary angiography/Diagnosis引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据