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《Academic Journal of Second Military Medical University》 2003-09
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Non-invasive approaches ECG, treadmill exercise test and Holter comparing with coronary angiography in diagnosis of coronary artery disease

HUANG Cong 1, ZHANG Zheng Hong 1,CAO Hui 1,QIN Yong Wen 2* , ZHAO Xian Xian 2 , DING Ji Jun 2 (1. Second Sanatorium of Qingdao, Ji'nan Military Area Command, Qingdao 266071, China; 2. Department of Cardiology, Changhai Hospital, Second Military Medical University,Shanghai 200433)  
This paper is to compare the value of ECG, treadmill exercise test(TET) and Holier in the diagnosis of coronary artery disease. Totally 639 patients with coronary artery disease confirmed by coronary angiography were included. The results showed that the sensitivity of ECG was 77.2%, TET 62.5% and Holter 71.1%. The specificity of ECG was 50%, TET 63.5% and Holter 49.7%.It is suggested that ECG is the first chioce for the screening of coronary heart diseases. TET is most valuable in the diagnosis of coronary artery disease, specially for asymptomatic cardiac eschemia; Holter is an important method to examine the patient with coronary heart disease outside hospital,which cannot be substitute by other methods.
【CateGory Index】: R541.4;R816.2
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