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本文为估计心电图潘生丁试验对冠心病的诊断价值,对确诊的心肌梗塞22例和心绞痛28例进行观察,其阳性率为58.0％。对照组13例(包括2例心肌病)均呈阴性反应。潘生丁试验阳性组中9例进行~(201)铊心肌灌注显像均显示有灌注缺损。2例心肌病,1例~(201)铊阴性,另1例~(201)铊分布不均匀。心肌梗塞和心绞痛组7例进行了选择性冠状动脉造影检查,显示单支血管病变4例,2支或多支血管病变3例,上述7例中6例潘生丁试验呈阳性反应。2例心肌病,选择性冠状动脉造影正常,潘生丁试验亦呈阴性反应。本试验操作简便,副作用小,具有一定的敏感性,可作为无创性检查冠心病的辅助诊断方法之一。
This article is to assess the diagnostic value of electrocardiogram dipyridamole test on coronary heart disease, 22 cases of confirmed myocardial infarction and 28 cases of angina observed, the positive rate was 58.0%. Control group, 13 cases (including 2 cases of cardiomyopathy) were negative. 9 cases of dipyridamole test positive group carried out ~ (201) thallium myocardial perfusion imaging showed perfusion defects. 2 cases of cardiomyopathy, 1 case of ~ (201) thallium negative, and the other case of ~ (201) Thallium unevenly distributed. Seven patients with myocardial infarction and angina pectoris underwent selective coronary angiography. Four patients had single vessel disease, and three patients had two or more vessel disease. Six of 7 patients had positive dipyridamole test. 2 cases of cardiomyopathy, selective coronary angiography was normal, dipyridamole test also showed a negative reaction. The test is simple, less side effects, has a certain sensitivity, can be used as a non-invasive examination of coronary heart disease, one of the diagnostic methods.