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Comparison of the Results Derived from Treadmill ExerciseTest and from Coronary Angiography in 65 Patients

ZHANG Yuan-Ying, SHEN Wei-Feng, CHEN Jue-Fang, LIU Xia, SHEN Li-Ying(Rui Jin Hsopital Attached to Shanghai Second Medical University 200025)  
The results derived from treadmill exercise test and coronary angiog-raphy in 65 patients were assessed comparatively. 29 patients had coronary artery steno-sis≥50%, exercise test results were positive in 22 patients and negative in 7 patients;36 patients had normal coronary artery, exercise lest results were positive in 7 patientsand negative in 29 patients, so that exercise test identified patients with coronary heartdisease with a sensitivity of 76%, specificity of 80% and predictive accuracy of 76%.The sensitivity was associated with the extent of coronary artery disease: in patientswith two or three vessel disease (88% or 83%) was significantly higher than that in patients with vessel diseas (64%) all patients with three vessel in disease, ischemia in-duced at early stage of exercise test and low workload, so the onset time of exercise in-duced ischemia (identified by electrocardiogram with ST segment depression ≥1 mmm)in patients with three vessel disease (256. 7±132. 3 second) was significantlyless thanthat in patients with two or vessel disease (341. 4±170. 8 or 457. 3±251. 7 second). In29 patients typical angina history, exercise test results were positive in 22 patients andtrue positive in 20 patients, the predictive accuracy was 76%0. In 36 patients with atypi-cal angina history. exercise test results were positive in 8 patients and ture positive in 2patients, the predictive accuracy was 25%
【CateGory Index】: R541.404
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