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《Journal of Beihua University(Natural Science)》 2008-01
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Comparison of Treadmill Exercise Test with Coronary Angiography

ZHU Yan-bin,LU Dong-yan,HE Hai-tao,HAN Hai-ling,SUN Yu-qin(Affiliated Hospital of Beihua University,Jilin 132011,China)  
Objective To evaluate the diagnostic value of coronary artery diseases by using comparison of treadmill exercise test with coronary angiography.Methods 329 patients with suspicious coronary artery diseases were examined with treadmill exercise test and coronary angiography,the diagnostic results were compared and determined.Results The results of treadmill exercise test were positive in 183 patients and coronary angiography were positive in 136 patients and negative in 47 patients.The results of treadmill exercise were negative in 146 patients and coronary angiography were negative in 115 patients of them and positive in 31 patients of them.The sensitivity,specificity,accuracy,false positive rate and false negative were 81.4%(136/167),71.0%(115/162),76.3%(251/329),25.7%(47/183),21.2%(31/146) respectively.The treadmill exercise test false negative rate of a single branch coronary artery was higher than that of multi-branch coronary arteries.Conclusion Treadmill exercise test may be used as a screening test for diagnosis of coronary artery disease and the combination of treadmill exercise test with coronary angiography can increase the diagnostic specificity and accuracy of coronary artery diseases.
【CateGory Index】: R540.4
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