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《Jiangxi Medical Journal》 2008-02
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The diagnostic value of treadmill exercise test(TET) in patients with coronary heart disease

Wang Haiyan,Huang Weijian,Sun Liqing,et al(Department of cardiology,the first affiliated hospital of WenZhou medical college,WenZhou,325000,China)  
Objective To investigate the clinical significance of treadmill exercise test( TET)in the non-invasive diagnosis of coronary heart disease(CHD).Methods 258 patients that had been submitted to TET up to the average 10 days before coronary angiography on suspicion of coronary heart disease.Statistical analyses were used to assess the sensitity and specificity of TET.The sensivity of TET in the difference of severity of coronary lesion were analyzed.The multi-parameters of TET and severity of coronary lesion were also analyzed to explore the relationship between them.Results TET identified patients with coronary heart disease with a sensitivity of 76.5%,specificity of 61.9% and accuracy of 70.6%.The sensitivity was associated with the extent of coronary artery disease,In patients with double or triple vessel disease were significantly higher than that in patients with single vessel disease(P0.05).The total time of TET ,the depth of S-T segment depression,the duration of ST segment depression and the ST segment recovery time value of TET in patients with single-vessel disease had singnificant difference from those in patients with two or three-vessel disease. Inferior lead's false positive rate was more than that of limb lead(P0.05).Conclusion TET is a reliable method in the non-invasive method to diagnosis of CHD.It's multi-parameters may be helpful to predict the severity of coronary lesion.Aggregate analysis acould help improve the diagnostic accuracy of TET.
【CateGory Index】: R541.4
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