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《Journal of Changzhi Medical College》 2009-03
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Comparison of Treadmill Exercise Test with Coronary Angiography in 268 Patients

Wu Huipeng Shanxi Medical University  
Objective:Both exercise test and coronary angiography were done to evaluate the value of treadmill exercise test in coronary artery disease(CAD).Methods: 268 patients with suspected CAD in clinic were given treadmill exercise test and coronary angiography in two weeks.Results:(1) 115 patients were positive in treadmill exercise test among 268 subjects.86 patients were positive,while 29 patients were negative in coronary angiography among the 115 positive patients in treadmill exercise test.There were 153 negative patients in treadmill exercise test with 24 positive and 129 negative patients in coronary angiography.The sensitivity,specificity,accuracy,false positive rate and false negative rate were 78.2%(86/110),81.6%(129/158),18.4%(29/159),21.8%(24/110).2) In treadmill exercise test,the positive rate was related to the number of criminal vessel;ST descent,emergence time,persistence time were related to the degree of the coronary artery stenosis.3) The false positive rate in female was higher than that in male(P0.05).Conclusions: Treadmill exercise test is one of non-invasive exam methods in diagnosis of CAD.It is simple,economic,practical and should be used widely in clinic.
【CateGory Index】: R541.4
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