Diagnostic value of synchronous 12 lead Holter combined with coronary CT angiography in coronary heart disease

Chen yun; Kang jinfen

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Diagnostic value of synchronous 12 lead Holter combined with coronary CT angiography in coronary heart disease

更新时间：2025-10-15

- Diagnostic value of synchronous 12 lead Holter combined with coronary CT angiography in coronary heart disease
- Issue 4, Pages: 285-288+292(2022)
- 作者机构：
  
  1. 泉州医学高等专科学校临床医学院内科学教研室
  2. 福建省泉州市第一医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R541.4
- Published：2022
- 稿件说明：
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Chen yun, Kang jinfen. Diagnostic value of synchronous 12 lead Holter combined with coronary CT angiography in coronary heart disease[J]. 2022, (4): 285-288+292.
DOI：

Chen yun, Kang jinfen. Diagnostic value of synchronous 12 lead Holter combined with coronary CT angiography in coronary heart disease[J]. 2022, (4): 285-288+292. DOI：

摘要

目的探讨同步12导联动态心电图联合冠状动脉CT血管成像在冠心病（CHD）中的应用。方法选取80例疑似CHD患者，所有患者均行冠状动脉造影并将其结果作为诊断CHD的“金标准”。同时行同步12导联动态心电图和冠状动脉CT血管成像检查，分析两者单独检查及联合检查对CHD的诊断价值。结果根据“金标准”发现疑似CHD患者中有47例确诊为CHD，占比为58.75%；经Kappa一致性检验发现，冠心病患者冠状动脉CT血管成像检查结果与“金标准”结果一致性良好（Kappa值=0.782

p<0.05），同步12导联动态心电图与冠状动脉CT血管成像联合诊断CHD的灵敏度高于单独诊断（p<0.05）。结论同步12导联动态心电图联合冠状动脉CT血管成像诊断CHD优于二者单独诊断，适合临床推广应用。

Abstract

Objective Toinvestigatetheapplication ofsynchronous 12 lead dynamic electrocardiogramcombined with coronaryarteryCTangiographyin coronary heart disease（CHD）. Methods Eighty suspected CHD patients admitted to our hospital were selected. All patients underwent coronary angiography and the results were taken as the "gold standard" for the diagnosis ofCHD. Simultaneous 12-lead Holter and coronary CT angiography were performed to analyze the diagnostic value of CHD by using the two methods alone or jointly. Results According to the "gold standard"

47suspected CHD patients were diagnosed as CHD

and the proportion of coronary heart disease patients was 58.75%. The Kappa consistency test showed that the results of coronary CT angiography in patients with coronary heart disease were in good agreement with the results of the "gold standard"（Kappa value=0.782

p<0.05）. The sensitivity of synchronous12-lead Holter combined with coronary CT angiography in the diagnosis of CHD was higher than that of single diagnosis（p<0.05）. Conclusions Simultaneous 12-lead Holter combined with coronary CT angiography is better than the two alone in the diagnosis of CHD

which was suitable for clinical application.

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references

同步12导联动态心电图诊断冠心病心肌缺血的价值研究[J]. 刘苏城;吕新;李良军.中国医师进修杂志,2022(02)

多排螺旋CT冠脉成像、心电图及冠状动脉造影对冠心病临床诊断价值的比较[J]. 张晓英;程晓莉;王竹青.贵州医药,2021(10)

冠状动脉CT血管成像对冠心病病变程度及部位的诊断价值[J]. 徐利军;魏雪;刘娇;张光勇;孙雷.西部医学,2020(03)

胸痛疑诊冠心病患者的诊断评估思路进展[J]. 阮云军;宋仕聪;向定成.中国实验诊断学,2018(01)

Comparative analysis of ischemic changes in electrocardiogram and coronary angiography results: A retrospective study[J]. Liu Yun;Ping Jing;Qiu LiCheng;Sun Chenglong;Chen Ming.Medicine,2021(24)

Assessment of Coronary Artery Disease With Computed Tomography Angiography and Inflammatory and Immune Activation Biomarkers Among Adults With HIV Eligible for Primary Cardiovascular Prevention.[J]. Hoffmann Udo;Lu Michael T;Foldyna Borek;Zanni Markella V;Karady Julia;Taron Jana;Zhai Bingxue K;Burdo Tricia;Fitch Kathleen V;Kileel Emma M;Williams Kenneth;Fichtenbaum Carl J;Overton Edgar T;Malvestutto Carlos;Aberg Judith;Currier Judith;Sponseller Craig A;Melbourne Kathleen;FlorisMoore Michelle;Van Dam Cornelius;Keefer Michael C;Koletar Susan L;Douglas Pamela S;Ribaudo Heather;Mayrhofer Thomas;Grinspoon Steven K.JAMA network open,2021(6)

Lipid profile and prognosis in patients with coronary heart disease: a meta-analysis of prospective cohort studies[J]. Zhao Xiangmei;Wang Dongying;Qin Lijie.BMC Cardiovascular Disorders,2021(1)

Predictive value of LncRNA on coronary restenosis after percutaneous coronary intervention in patients with coronary heart disease: A protocol for systematic review and meta-analysis[J]. Liu Shengxiang;Yang Guokang;Huang Yupeng;Zhang Cheng;Jin Hongyan.Medicine,2021(1)

Application value between dynamic electrocardiogram and MSCT myocardial perfusion imaging in the diagnosis of myocardial ischemia in coronary heart disease.[J]. Chen Ping;Wu Ting;Peng Qionghui;Fan Na;Shi Yong;Wang Huan;Chen Liu;Guo Hongxia.Annals of palliative medicine,2021(10)

A clinical strategy to improve the diagnostic accuracy of 1.5-T non-contrast MR coronary angiography for detection of coronary artery disease: combination of whole-heart and volume-targeted imaging[J]. Lu Lin;Liang Wang;Xiao-Na Zhang;Xiao Li;Jian Wang;Zhu-Jun Shen;Wei Chen;Zheng-Yu Jin;Yi-Ning Wang.European Radiology,2020(prep)

Presence and severity of coronary artery disease in patients who achieved intensive blood pressure reduction at the time of coronary computed tomography angiography.[J]. Tsukihashi Yohei;Shiga Yuhei;Suematsu Yasunori;Idemoto Yoshiaki;Tashiro Kohei;Yano Yuiko;Kato Yuta;Kuwano Takashi;Sugihara Makoto;Miura ShinIchiro.Hypertension research : official journal of the Japanese Society of Hypertension,2020(2)

Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review[J]. Abdelrahman Khaled M.;Chen Marcus Y.;Dey Amit K.;Virmani Renu;Finn Aloke V.;Khamis Ramzi Y.;Choi Andrew D.;Min James K.;Williams Michelle C.;Buckler Andrew J.;Taylor Charles A.;Rogers Campbell;Samady Habib;Antoniades Charalambos;Shaw Leslee J.;Budoff Matthew J.;Hoffmann Udo;Blankstein Ron;Mehta Nehal N..Journal of the American College of Cardiology,2020(10)

Coronary heart disease mortality trends during 50 years as explained by risk factor changes: The European cohorts of the Seven Countries Study[J]. Alessandro Menotti;Paolo E Puddu;Daan Kromhout;Anthony Kafatos;Hanna Tolonen.European Journal of Preventive Cardiology,2020(9)

Systolic blood pressure, heart rate, and outcomes in patients with coronary disease and heart failure.[J]. Elgendy Islam Y;Hill James A;Szady Anita D;Gong Yan;Cooper-DeHoff Rhonda M;Pepine Carl J.ESC heart failure,2020(1)

CT Coronary Angiography Fractional Flow Reserve: New Advances in the Diagnosis and Treatment of Coronary Artery Disease[J]. Neal R. Shah;Jonathan D. Pierce;Elias G. Kikano;Amir Ata Rahnemai-Azar;Robert C. Gilkeson;Amit Gupta.Current Problems in Diagnostic Radiology,2020(prep)

Myocardial blood flow analysis of stress dynamic myocardial CT perfusion for hemodynamically significant coronary artery disease diagnosis: The clinical value of relative parameter optimization[J]. Yan Yi;Cheng Xu;Wei Wu;Yun Wang;Yu-Mei Li;Zhu-Jun Shen;Zheng-Yu Jin;Yi-Ning Wang.Journal of Cardiovascular Computed Tomography,2020(4)

Low-Dose Radiation Advances in Coronary Computed Tomography Angiography in the Diagnosis of Coronary Artery Disease.[J]. Richards Caryl E;Obaid Daniel R.Current cardiology reviews,2019(4)

Effects of different CT angiography technology-based nursing methods on patients with coronary artery heart diseases[J]. Jie Sun;Xia Guo;Xiaofang Geng;Xiaofang Ren.Journal of Infection and Public Health,2019

Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association.[J]. Tamis-Holland Jacqueline E;Jneid Hani;Reynolds Harmony R;Agewall Stefan;Brilakis Emmanouil S;Brown Todd M;Lerman Amir;Cushman Mary;Kumbhani Dharam J;Arslanian-Engoren Cynthia;Bolger Ann F;Beltrame John F.Circulation,2019(18)

Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance.[J]. Tian Yun;Deng Pingji;Li Bing;Wang Jieqiong;Li Ju;Huang Yulan;Zheng Yan.Reviews in cardiovascular medicine,2019(1)

Financial Stress and Risk of Coronary Heart Disease in the Jackson Heart Study[J]. Kaitlyn E. Moran;Mark J. Ommerborn;Chad T. Blackshear;Mario Sims;Cheryl R. Clark.American Journal of Preventive Medicine,2019(2)

Coronary Artery Plaque Characteristics Associated With Adverse Outcomes in the SCOT-HEART Study[J]. Michelle C. Williams;Alastair J. Moss;Marc Dweck;Philip D. Adamson;Shirjel Alam;Amanda Hunter;Anoop S.V. Shah;Tania Pawade;Jonathan R. Weir-McCall;Giles Roditi;Edwin J.R. van Beek;David E. Newby;Edward D. Nicol.Journal of the American College of Cardiology,2019(3)

Impact of Fractional Flow Reserve Derived From Coronary Computed Tomography Angiography on Heart Team Treatment Decision-Making in Patients With Multivessel Coronary Artery Disease: Insights From the SYNTAX III REVOLUTIO[J]. Andreini Daniele;Modolo Rodrigo;Katagiri Yuki;Mushtaq Saima;Sonck Jeroen;Collet Carlos;De Martini Stefano;Roberto Maurizio;Tanaka Kaoru;Miyazaki Yosuke;Czapla Jens;Schoors Danny;Plass Andre;Maisano Francesco;Kaufmann Philipp;Orry Xavier;Metzdorf Pierre-Adrien;Folliguet Thierry;F?rber Gloria;Diamantis Ioannis;Sch?nwei? Marc;Bonalumi Giorgia;Guglielmo Marco;Ferrari Cristina;Olivares Paolo;Cavallotti Laura;Leal Ingrid;Lindeboom Wietze;Onuma Yoshinobu;Serruys Patrick W;Bartorelli Antonio L.Circulation. Cardiovascular interventions,2019(12)

Non-invasive detection of coronary inflammation using computed tomography and prediction of residual cardiovascular risk (the CRISP CT study): a post-hoc analysis of prospective outcome data[J]. Evangelos K Oikonomou;Mohamed Marwan;Milind Y Desai;Jennifer Mancio;Alaa Alashi;Erika Hutt Centeno;Sheena Thomas;Laura Herdman;Christos P Kotanidis;Katharine E Thomas;Brian P Griffin;Scott D Flamm;Alexios S Antonopoulos;Cheerag Shirodaria;Nikant Sabharwal;John Deanfield;Stefan Neubauer;Jemma C Hopewell;Keith M Channon;Stephan Achenbach;Charalambos Antoniades.The Lancet,2018(1015)

Identification of High-Risk Plaques Destined to Cause Acute Coronary Syndrome Using Coronary Computed Tomographic Angiography and Computational Fluid Dynamics[J]. Joo Myung Lee;Gilwoo Choi;Bon-Kwon Koo;Doyeon Hwang;Jonghanne Park;Jinlong Zhang;Kyung-Jin Kim;Yaliang Tong;Hyun Jin Kim;Leo Grady;Joon-Hyung Doh;Chang-Wook Nam;Eun-Seok Shin;Young-Seok Cho;Su-Yeon Choi;Eun Ju Chun;Jin-Ho Choi;Bjarne L. N?rgaard;Evald H. Christiansen;Koen Niemen;Hiromasa Otake;Martin Penicka;Bernard de Bruyne;Takashi Kubo;Takashi Akasaka;Jagat Narula;Pamela S. Douglas;Charles A. Taylor;Hyo-Soo Kim.JACC: Cardiovascular Imaging,2018

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