Exercise test induced ventricular arrhythmias clinical value in diagnosis of coronary heart disease.docVIP

 PAGE \* MERGEFORMAT 10 Exercise test induced ventricular arrhythmias clinical value in diagnosis of coronary heart disease [Abstract] Objective: To evaluate the exercise test induced arrhythmia diagnosis of coronary heart disease. Methods: The from July 2006 to June 2009 patients with positive exercise test occurred in the selected 117 cases of arrhythmia were carried out analyzed and divided into two groups, A group of 65 patients with ventricular arrhythmias as ischemic ST-T change, B group only 52 cases of ventricular arrhythmias is not associated with ischemic ST-T changes and with coronary angiography results were compared. Results: A group of 65 patients made by the crown 53 cases of stenosis, accounting for 81.5%; B group 52 patients with a narrow crown was made in 19 cases, 36.5%, the difference was statistically significant (P lt;0.05). A group of patients and the total exercise time is short, low series, the occurrence of high-level arrhythmias are most welcome, most patients associated with chest pain, chest tightness and other symptoms. Conclusion: Exercise test-induced ventricular high-level arrhythmias associated with ischemic ST-T change are, diagnostic value of coronary heart disease better than those who only arrhythmia, the former-positive rate and high accuracy, is a strongly positive exercise test, can significantly improve the diagnosis of coronary heart disease rates , is also a high risk exercise test, more susceptible to cardiac events. [Keywords:] of treadmill exercise test; ventricular arrhythmia; Coronary Angiography; coronary heart disease Treadmill exercise test with its simple, fast, non-invasive but repeatable, etc., are widely used, has become an important clinical means of diagnosis of coronary heart disease. Standard treadmill exercise test to appear positive ischemic ST-T changes as the main indicator practice showed that mere ST-T changes to certain false positive diagnosis of coronary heart disease. In recent years