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张永春,关慧灵,苏静君,刘建庄,张素荣,黄陆力,刘建恩,黄正文.食管调搏心负荷二维超声心动图试验对冠心病诊断价值研究[J].中国医学影像技术,1999,15(7):525~526

食管调搏心负荷二维超声心动图试验对冠心病诊断价值研究

Study on Diagnostic Value of the Transesophageal Atrial Pacing Loading Two dimensional Echocardiography Test to Coronary Heart Disease

投稿时间：1998-12-29

DOI：

中文关键词: 冠心病食管调搏术超声心动描记术心电描记术

英文关键词:Coronary heart disease Transesophageal atrial pacing Echocardiagraphy Electrocardiography

基金项目:

作者	单位
张永春	新乡医学院第一附属医院心内科
关慧灵	新乡医学院第一附属医院心内科
苏静君	新乡医学院第一附属医院心内科
刘建庄	新乡医学院第一附属医院心内科
张素荣	新乡医学院第一附属医院心内科
黄陆力	新乡医学院第一附属医院心内科
刘建恩	新乡医学院第一附属医院心内科
黄正文	新乡医学院第一附属医院心内科

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中文摘要:

目的探讨食管调搏心负荷二维超声心动图(TEAPL 2DE) 试验对冠心病(CHD) 的诊断价值,并与同期静息二维超声心动图(rest 2DE) 、食管调搏心负荷心电图(TEAPL ECG) 试验相比较。方法 80 例拟诊CHD 的住院病人均行TEAPL 2DE、Rest 2DE及TEAPL ECG试验,以冠状动脉造影(CAG) 冠脉狭窄> 50 % 作为确诊CHD 的依据,60 例确诊为CHD,但除外心肌梗塞。20 例CAG正常者作为对照。结果 TEAPL 2DE 助诊CHD 的敏感性为86.67 %,特异性为85 %,同TEAPL ECG、rest 2DE比较,TEAPL 2DE有更高的敏感性( P< 0.025,P< 0.005) .三种试验的特异性无显着性差异( P> 0.05) .TEAPL 2DE 对早期CHD 冠脉轻度狭窄病变也有较高敏感性,而TEAPL ECG 则对多支冠脉血管的中、重度狭窄病变敏感性较高。结论 TEAPL 2DE 是一安全、有效、无创性助诊CHD 的方法,与TEAPL ECG结合更能提高CHD的诊断价值。

英文摘要:

Objective To research the dagnostic value of the transesophageal atrial pacing loading two dimensional echocardiography test (TEAPL 2DE) to the coronary heart disease (CHD).The results of this test were compared with the homochronous results of the rest two dimensional echocardiography (rest 2DE) and the transesophageal atrial pacing loading electrocardiography (TEAPL ECG).Methods 80 cases who were suspected with CHD were all performed with TEAPL 2DE,rest 2DE and TEAPL ECG as well as coronary angiography (CAG).Among them,60 cases,except with myocardial infarction,were diagnosed as CHD when the luminaldiameter reduction in one major coronary artery at least was >50%.20 cases with normal CAG were made as a contrast.Results The sensitivity of TEAPL 2DE in helping the diagnosis of CHD was 86.67%,and its specificity was 85%.TEAPL 2DE had higher sensitivity than TEAP ECG and rest 2DE( P <0 025, P <0 005),and the specificity of these three tests had no obvious difference ( P >0 05).TEAPL 2DE had relatively a higher sensitivity to the low grade coronary lesion of CHD in its early stage,while TEAPL ECG had a higher sensitivity to the mid grade and the high grade lesion of multiple branches coronary vessel stenosis.Conclusion TEAPL 2DE was the safe,effective and noninvasic method in helping the diagnosis of CHD.Its combination with TEAPL ECG will promote the diagnostic value of CHD.

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