论文部分内容阅读
目的探讨围绝经期女性平板运动试验与冠心病的相关性。方法拟诊冠心病患者180例,其中围绝经期女性58例为围绝经期组,绝经期后女性62例为绝经期后组,余60例男性为对照组。均于平板运动试验后行冠状动脉造影,以冠状动脉造影结果为金标准,分别计算平板运动试验在3组患者诊断中的灵敏度、特异度、假阳性率及假阴性率。结果3组假阴性率比较无显著性差异,围绝经期组与绝经期后组、男性对照组比较假阳性率有显著性差异,绝经期后组与男性对照组假阳性率比较无显著性差异。结论对于拟诊冠心病的围绝经期女性,平板运动试验阳性时,应进一步行冠状动脉造影以明确诊断;而平板运动试验阴性,则绝大部分可以排除冠心病。
Objective To investigate the correlation between menopausal treadmill exercise test and coronary heart disease. Methods 180 patients with coronary heart disease were enrolled in this study. Of them, 58 were perimenopausal women, and 62 were postmenopausal women and 60 were male controls. Coronary angiography was performed after the treadmill exercise test. The coronary angiography results were taken as the gold standard. The sensitivity, specificity, false positive rate and false negative rate of treadmill exercise test were calculated respectively in the three groups. Results There was no significant difference in the false negative rate among the three groups. There was significant difference between the menopausal group and the menopausal group in the perimenopausal group and the male control group, and there was no significant difference between the menopausal group and the male control group . Conclusions For perimenopausal women with suspected coronary artery disease, coronary angiography should be further performed to confirm the positive treadmill exercise test. However, if the treadmill exercise test is negative, the majority of patients with coronary heart disease can be excluded.