平板运动试验与生化指标诊断可疑冠心病

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平板运动试验与生化指标诊断可疑冠心病

更新时间：2025-10-15

- 平板运动试验与生化指标诊断可疑冠心病
- Issue 3, Pages: 181-184(2015)
- 作者机构：
  
  暨南大学第一附属医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R540.4;R541.4
- Published：2015
- 稿件说明：
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[J]. 2015, (3): 181-184.
DOI：

[J]. 2015, (3): 181-184. DOI：

摘要

目的对可疑冠心病患者评估平板运动实验(TET)参数及生化指标以提高其诊断效果。方法对68例非外周动脉疾病、肌病以及肾功能不全的患者进行TET检测。然后对其TET参数和生化指标进行计算

并在一个月内进行冠脉穿刺(CAG)确诊

从而确定CHD患者的诊断点

为CHD提供诊断方法。结果通过对TET各指标分析得出最大心率(Peak HR)

最大心率达标率(MPHR)

低密度脂蛋白(LDL)以及糖化血红蛋白(HbA1c))有显著统计学意义(p<0.05)。最终通过逐步回归分析得出TET结合MPHR和HbA1c的等式[p=1/[1+e-(-4.036+0.367X1-0.118X2+2.807X3)];X1:TET;X2:MPHR achieved;X3:HbA1c]能够较单独TET测量提高诊断CHD的水平。经ROC曲线分析

其ROC下的面积为0.822。通过线性内插法求出诊断点为p=0.824。也就是说

当p大于0.824时

该病患可以诊断为CHD

反之亦然。结论MPHR以及HbA1c与TET结果结合对可疑TET患者有提高诊断的效果

不仅能够减少CAG造成的侵入性损伤

也能提高并明确可疑CHD。通过对TET可疑阳性的检测

证明该诊断点对可疑TET阳性患者诊断的敏感度为50%

假阳性率为0%。

Abstract

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references

刘飞,王前,曾方银,张鹏.降钙素原在局部感染及败血症早期临床诊断的价值评价[J].南方医科大学学报,2010(03).

Akira Kurata,Atsushi Kono,Tsuyoshi Sakamoto,Teruhito Kido,Teruhito Mochizuki,Hiroshi Higashino,Mitsunori Abe,Adriaan Coenen,Raluca G. Saru-Chelu,Pim J. Feyter,Gabriel P. Krestin,Koen Nieman.Quantification of the myocardial area at risk using coronary CT angiography and Voronoi algorithm-based myocardial segmentation[J].European Radiology,2015(1).

Sun Jian-ling,Zhao Ying,Gao Yu-lian,Xiong Li-juan,Guo Ji-hong,Li Xiao-ying.Coronary heart disease diagnosis bases on the change of different parts in treadmill exercise test ECG[J].Cell Biochemistry and Biophysics,2013(3).

Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Boston University, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts,Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.Yield of Downstream Tests After Exercise Treadmill Testing[J].Journal of the American College of Cardiology,2014.

SinaZaim,JoelSchesser,Linda S.Hirsch,RonaldRockland.Influence of the Maximum Heart Rate Attained during Exercise Testing on Subsequent Heart Rate Recovery[J].Annals of Noninvasive Electrocardiology,2010(1).

UDOMKACHINTORN.How do we define non‐cardiac chest pain?[J].Journal of Gastroenterology and Hepatology,2005.

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