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《Journal of Clinical Electrocardiology》 1992-01
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Value of 24-hour ambulatory electrocardiographic recordings in the diagnosis of coronary artery disease

Zhang Juan-ying, et al(Departmint of cardiology, Rui Jin Hospital, Shanghai 200025)  
Forty-one patients with angiographically-documents coronary artery disease (CAD) underwent 24-hour ambulatory electrocardiographic (ECG) recordings, and a maximal treadmill exercise test was performed in 24 of 41 patients. Myocardial ischemia as evaluated by ST segment deviations during ambulatory ECG recordings was compared with the results of exercise test and coronary angiographle findings. The ST segment deviations during ambulatory ECG recordings detected CAD with a sensitivity of 65% and a specificity of 90%. The occurence rate of ST segment deviations correlated closely with extent of CAD, one vessel disease 46%;multivessel disease 78%, P0.01. In 24 patients undergone maximal treadmill exercise tests, both 24-hour ambulatory ECG recordings and exercise tests showed a high incidence of myocardial ischemia in patients with multivessel disease (88%), but the sensitivity of these two tests in detecting myocardial ischemia for patients with single vessel disease was only 11% and 78%, respectively, P0.001.
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