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《Chinese Journal of Cardiology》 1995-06
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The significance of determining restenosis after elective PTCA using electrocardiogram exercise test

Li Dayuan, Wang Lihui, Zhu Guoying, et al. First Teaching Hospital, Beijing Medical University, Beijing 100034  
To determine the value of eletrocardiogram exercise test for predicting the restenosis after elective PTCA, follow-up angiography and exercise test were studied in 41 patients with successful PTCA. The results showed: (1) Exercise test indices (including: a positive treadmill test result, exercise-induced angina, more ST-segment deviation during exercise, maximal exercise heart rate, exercise time, maximal myocardial oxygen-consume) of patients without restenosis were significantly improved after PTCA than those before PTCA, in addtion, exercise test indices were significantly improved in patients without restenosis than those in patients with restenosis. (2)The sensitivity of positive exercise test result for predicting restenosis was 79.2%, whereas the specificity was 58. 8%. The positive predictive value was 72. 4%. (3) The rate of clinical anginal symptoms in patients with restenosis is significantly higher than that in patients without restenosis at the time of follow-up. The results suggest that electrocardiogram exercise test is relatively a simple and effective method for predicting restenosis after PTCA.
【CateGory Index】: R541.4
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