心电图与冠状动脉造影诊断冠心病的价值分析(1)
摘 要：目的 探讨心电图检查与冠状动脉造影检查在冠心病患者中的诊断价值。方法 选取2016年10月～2018年10月于九江市柴桑区人民医院住院的疑似冠心病患者110例，所有患者行常规心电图和冠状动脉造影检查，比较心电图检查结果和冠状动脉造影结果。结果 ①ST-T改变在心电图中诊断率为65.45%，高于冠状动脉造影检查的60.91%，二者比较，差异无统计学意义(P>0.05);②冠状动脉造影检查确诊冠心病患者67例。其中ST-T改变诊断率为58.21%，高于非ST-T改变的41.79%，ST-T改变在确诊冠心病方面优于非ST-T改变，差异具有统计学意义(P<0.05)。结论 冠状动脉造影检查仍是临床确诊冠心病的首选方法，心电图ST-T改变能够为早期冠心病诊断方面提供依据，临床确诊还需结合冠状动脉造影等相关检查。
关键词：冠状动脉造影;冠心病;ST-T改变;心电图
中图分类号：R541.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.036
, 百拇医药
文章编号：1006-1959(2018)24-0126-02
Abstract：Objective To investigate the diagnostic value of electrocardiogram and coronary angiography in patients with coronary heart disease.Methods A total of 110 patients with suspected coronary heart disease who were admitted to the People's Hospital of Chaisang District， Jiujiang City from October 2016 to October 2018 were enrolled. All patients underwent routine electrocardiogram and coronary angiography， and the results of ECG and coronary angiography were compared.Results ①The diagnostic rate of ST-T changes in electrocardiogram was 65.45%， which was higher than 60.91% in coronary angiography. There was no significant difference between the two (P>0.05). ②Coronary angiography confirmed 67 patients with coronary heart disease. Among them， the diagnosis rate of ST-T change was 58.21%，Compared with non-ST-T changes of 41.79%， ST-T changes were superior to non-ST-T changes in the diagnosis of coronary heart disease，the difference was statistically significant (P<0.05).Conclusion Coronary angiography is still the first choice for clinical diagnosis of coronary heart disease. ECG ST-T changes can provide a basis for the diagnosis of early coronary heart disease. Clinical diagnosis is also required to be combined with coronary angiography.
, 百拇医药
Key words：Coronary angiography;Coronary heart disease;ST-T change;Electrocardiogram
冠狀动脉粥样硬化性心脏病(coronary atherosclerotic heart disease，CHD)是冠状动脉血管发生动脉粥样硬化病变而引起血管腔狭窄或阻塞，造成心肌缺血、缺氧或坏死而导致的心脏病，通常称为“冠心病”[1]。临床可表现为心绞痛、心律失常、心肌梗死等，甚至发生猝死，严重危及患者生命安全。目前临床常采用药物和冠状动脉介入治疗，部分危重患者采用心肌桥切除手术或冠状动脉搭桥治疗[2，3]。冠心病患者早期心电图可有ST-T改变或者正常。冠脉造影是经动脉插管直接注射造影剂再经X光拍片得出心脏冠状动脉图像，是目前临床确诊冠心病最常用和最准确的方法。研究显示，冠心病患者的远期预后与早期诊断密切相关[4]。因此早期诊断显得尤为重要，亦是临床医生诊治冠心病的重点。为研究冠状动脉造影检查在冠心病诊断中的应用价值，本研究选择我院收治的110例疑似冠心病患者进行研究，现报道如下。, http://www.100md.com(陈珊)
关键词：冠状动脉造影;冠心病;ST-T改变;心电图
中图分类号：R541.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.036
, 百拇医药
文章编号：1006-1959(2018)24-0126-02
Abstract：Objective To investigate the diagnostic value of electrocardiogram and coronary angiography in patients with coronary heart disease.Methods A total of 110 patients with suspected coronary heart disease who were admitted to the People's Hospital of Chaisang District， Jiujiang City from October 2016 to October 2018 were enrolled. All patients underwent routine electrocardiogram and coronary angiography， and the results of ECG and coronary angiography were compared.Results ①The diagnostic rate of ST-T changes in electrocardiogram was 65.45%， which was higher than 60.91% in coronary angiography. There was no significant difference between the two (P>0.05). ②Coronary angiography confirmed 67 patients with coronary heart disease. Among them， the diagnosis rate of ST-T change was 58.21%，Compared with non-ST-T changes of 41.79%， ST-T changes were superior to non-ST-T changes in the diagnosis of coronary heart disease，the difference was statistically significant (P<0.05).Conclusion Coronary angiography is still the first choice for clinical diagnosis of coronary heart disease. ECG ST-T changes can provide a basis for the diagnosis of early coronary heart disease. Clinical diagnosis is also required to be combined with coronary angiography.
, 百拇医药
Key words：Coronary angiography;Coronary heart disease;ST-T change;Electrocardiogram
冠狀动脉粥样硬化性心脏病(coronary atherosclerotic heart disease，CHD)是冠状动脉血管发生动脉粥样硬化病变而引起血管腔狭窄或阻塞，造成心肌缺血、缺氧或坏死而导致的心脏病，通常称为“冠心病”[1]。临床可表现为心绞痛、心律失常、心肌梗死等，甚至发生猝死，严重危及患者生命安全。目前临床常采用药物和冠状动脉介入治疗，部分危重患者采用心肌桥切除手术或冠状动脉搭桥治疗[2，3]。冠心病患者早期心电图可有ST-T改变或者正常。冠脉造影是经动脉插管直接注射造影剂再经X光拍片得出心脏冠状动脉图像，是目前临床确诊冠心病最常用和最准确的方法。研究显示，冠心病患者的远期预后与早期诊断密切相关[4]。因此早期诊断显得尤为重要，亦是临床医生诊治冠心病的重点。为研究冠状动脉造影检查在冠心病诊断中的应用价值，本研究选择我院收治的110例疑似冠心病患者进行研究，现报道如下。, http://www.100md.com(陈珊)