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《CHINESE JOURNAL OF INTERNAL MEDICINE》 1996-02
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AXOMPARATIVESTUDYONCORONARYANGIOGRAPHYANDEXERCISEECGTESTING

WuLin,ZhangJunhua,ShaoGeng,etal.DepartmentofMedicine,theFirstHospitalofBeijingMedicalUniversity,Beijing100034  
BothcoronaryangiographyandexerciseECGestingweredonein461patients.Thecom-parativestudyshowedthatpositiveresultsofexerciseECGtestingdown-slopeorhorizontalde-pressionofSTsegmentmorethan0.1mVduringorafterexercisemaypredictcoronaryarterydisease,thesensitivitywas74.5%(322cases)andspecificity84.2%(139cases).WiththeuseofSTdepressionmorethan0.2mVasthesuper-positivestandard,thesensitivityandspecificityofpositiveexerciseECGtestingtopredicttriplevesseldiseaseandleftmaincoronarydiseasewas61.3%and79.1%,respective-ly.Theworkloadandtheincrementofsystolicbloodpressurehadanegativecorrelation(r=-0.4531and-0.3),buthedurationofSTdepressionhadapositivecorrelation(r=0.4502)withthenumberofdis-easedcoronaryar-teries.Thepatientswithmulti-vesseldiseaseandleftmaincoronaryarterydiseasehadahigherpositiverateofexerciseECGtestingascomparedwiththepatientswithsingleordoublevesseldisease.Thefemalepatientshadahigherfalsepositiveratethanthemale.ItisconcludedthatexerciseECGtestinghassomevalueindiagnosingcoronaryarterydiseaseandpredictingitsseverity.Somepa-rametersinexerciseishelp-fultopredicttheseverityofcoronaryarterydisease
【CateGory Index】: R540.41
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