45例老年人活动平板运动试验临床探究及安全性评价.docVIP

45例老年人活动平板运动试验临床探究及安全性评价【摘要】 目的 利用活动平板试验探讨老年人与冠心病发生率的关系及临床价值。方法 分析45例老年人活动平板运动试验就诊者,应用Bruce方案进行次级量平板运动试验。结果 平板运动试验的结果与冠状动脉造影符合率较高。结果无显著差异。平板运动试验检测灵敏度为89.13%,假阳性率为5.36%,特异度94.28%,假阴性率11.54%,阳性预测值94.64%。左冠状动脉、多支、右冠状动脉出现多导联段压低,左冠状动脉前降支检出率高。结论 老年人活动平板运动试验有利于筛查出不典型或隐匿型冠心病患者,作为一种简便,无创且准确性较高的检查方法,具有推广价值,本研究说明年龄并非影响该项检查的关键因素,建议在运动试验中不设置年龄限制。 【关键词】 老年人;活动平板;运动试验;临床研究 45 cases of treadmill exercise testing in elderly clinical study 【Abstract】 Objective To explore the use of treadmill exercise test the elderly and the relationship between the incidence of coronary heart disease and its clinical value. Methods 45 cases of elderly attenders treadmill exercise test, the application program sub-volume of Bruce treadmill exercise test. Results The results of treadmill exercise test and coronary angiography in line with a higher rate. Results No significant difference. Treadmill exercise test for detection sensitivity was 100%, false positive rate was 0%, a specificity of 88.46%, false-negative rate of 11.54%, positive predictive value of 86.36%. The left coronary artery, multiple branches, there is more than the right coronary artery segment depression in leads, the left anterior descending coronary artery detection rate. Conclusion The elderly treadmill exercise test is not conducive to screening out the typical or occult coronary heart disease patients, as a simple, non-invasive inspection methods and high accuracy, with promotion of value. This study shows that age is not a key factor in affecting the check, it is recommended not to set in motion the age limit for testing. 【Key words】 Aged;Treadmill;Exercise test;Clinical study 活动平板运动试验主要用于检测冠心病引起的心肌缺血,在运动过程中,冠状动脉因病变不能满足心肌需氧量的增加,心肌发生相对缺血而引起心电图的改变,现代平板运动试验并不限于观测心电图的改变,运动量,运动时间,血压反应,运动中是否出现症状等均可提供重要信息,活动平板试验是目前诊断冠心病最直接而有效的无创检查之一,早已用于临床,并作为冠心病的筛选指标[1]。笔者通过分析45例老年人活动平板运动试验结果,探讨活动平板运动试验对冠状动脉病变的诊断价值。并分析老年患者的试验结果,并评价其安全性。 1 资料和方法 1.1 一般资料 45例老年人活动平板运动试验就诊者,10例有典型心绞痛症状,33例有不典型胸痛、胸闷、气短、心悸症状,2例有冠心病的危险因素,均无心肌病或心功能不全、肺部