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Evaluation of the Detective Methods for Silent Myocardial Ischemia

Chen Shiquan, Deng Yulian, Yan Guanglie, et al (Department of Internal Mcdicine, Fujian Provincial Institute for Cardiovascular Disease, Fuzhou, 350001)  
To study non invasive evaluation of treadmill exercise test(TET), dynamic electrocardiogram(DCG),and myocardial computer tomograph scanning(ECT) on silent myocardial ischemia(SMI) \ Methods\ 100 cases,including 50 coronary heart disease(CHD) and 50 volunteers,were studied \ TET, DCG, ECT were taken in each subject \ In the meantime,the results between the combined methods(former three) and selective coronary angiography were analyzed \ Results\ It was found that the value of TET and DCG diagnosing SMI were similar and higher than of ECT \ The sensitivity of ECT was high but its speciality was low \ If any two of the above mentioned methods were used in combination accuracy of diagnosing SMI was improved \ If the three methods were combine sensitivity of diagnosing SMI was 89 47 percent \ Conclusion\ The result suggests that the combined measurements will be a more ideal method for diagnosing SMI \;
【CateGory Index】: R540.4
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