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The Controlled Study on the Diagnosis for Coronary Heart Disease by Coronary Arteriography,Isotope Myocardial Visualization and Exercise Electrocardiogram

He Baolun,Wu Yixian//Shanghai Jiading District Nanxiang Hospital;Affiliated Renji Hospital,Shanghai 2nd Medical University (Shanghai 201802)  
Coronary arteriography(CAG)was performed for 42 patients,among them,37 cases were diagnosed as coronary heart disease(CHD)according to the clinical manifestations and CAG,another 5 cases were inconsistent with CHD.Among 37 cases of CHD,28 showed CAG positive,sensitivity:75.3%,specificity 100%,hence the diagnosis of positive cases might be identified.The sensitivity of diagnosis by isotope myocardial visualization was 86.5%,specificity:60%,hence positive diagnosis showd be combined with clinical manlfestations. The sensitivity of exercise electrocardiogram for diagnosing CHD was 54.1%,specificity:80%,while the negative diagnostic value was only 19%,hence the negative result was unable to exclude CHD completely.
【CateGory Index】: R541.4,R814.4
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