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频域心电图对冠心病诊断价值的初步探讨
引用本文:梁海华,吴梅丽.频域心电图对冠心病诊断价值的初步探讨[J].湛江医学院学报,1994,12(4):314-316.
作者姓名:梁海华  吴梅丽
作者单位:广东医学院附属医院心电图室
摘    要:对50例冠心病和50例随机做平板运动试验(TET)者作频域心电图(FCG)对比分析探讨FCG对冠心病的诊断价值。结果表明:单纯根据FCG异常诊断冠心病有较高假阳性(65.22%)。如将FCG的阳性指标作综合判断,虽然敏感性降低(88.00%降至70.00%)。假阳性都明显降低(65.22%降至26.00%)。认为TET的特异性较FCG高。若两者均为阴性,则冠心病可能性很小。

关 键 词:心电图  冠心病  活动平板试验

PRELIMINARY STUDY ON THE VALUE OF FREQUENCY-DOMAIN CORRELATIVE CARDIOGRAM IN DIAGNOSIS OF CORONARY HEART DISEASE
Liang Haihua, Wu Meili, Zhang Xiaoling.PRELIMINARY STUDY ON THE VALUE OF FREQUENCY-DOMAIN CORRELATIVE CARDIOGRAM IN DIAGNOSIS OF CORONARY HEART DISEASE[J].Journal of Guangdong Medical College,1994,12(4):314-316.
Authors:Liang Haihua  Wu Meili  Zhang Xiaoling
Abstract:To estimate the value of frequency-domain corrective cardiogram(FCG) in diagnosis of coronary heart disease(CHD), FCG was performed in 50 patients with CHD and in 50 individuals random-selected for treadmill exercise test(TET) .for diagnosing CHD, the FCG compared with TET showed a higher false positive rate(65. 22% ). If the results of FCG were put into the comprehensive evaluation, the false positive rate might be decreased markedly(65. 22% to 26. 00%), and at the same time, the sensitivity of the FCG for diagnosing CHD was also decreased (from 88% to 77.4%).It is suggested that the specificity of TET was superior to FCG, and there was almost no posibility of diagnosing CHD if both of the examinations mentioned above were negative.
Keywords:frequency-domin corrective cardiogram  coronary heart disease  treadmill exercise test
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