急性心肌梗死后运动平板试验与冠状动脉造影的对比研究-心血管内科专业论文.docxVIP

中文摘要另外，选择的指标不同．则运动平板试验对冠状动脉多支病变诊断的敏感性、特异 中文摘要 另外，选择的指标不同．则运动平板试验对冠状动脉多支病变诊断的敏感性、特异 性、阳性预测值及阴性预测值也发生相应改变。③运动试验诱发的sT段抬高对心肌 梗死后病人室壁瘤及心肌梗死部位的判断有重要的提示意义。④冠状动脉病变部位 与sT段阳性改变的导联之间有一定的对应关系。⑤代谢当量与左室射血分数之间无 相关。 关键词 运动平板试验： 心肌梗死： 冠状动脉造影 硕士研究生 陈刚(心血管内科) 导 师 陈清启 卢喜烈 Comparable Comparable analysis of treadmill exercise test after acute myocardial infarction and coronary angiography Abstract objeetive 111e symptom-limited treadmill exercise test was performed in patients at recovery phase ofacute myocardial infarction to detect metabolic equivalents(METS)、 exercise timing and maximum heart rate of the patients．meanwhile．ST segment fluctuations and various arrhythmias were monitored by 1 2 leads electrocardiogram．ne patients underwent coronary angiography and left ventriculography at appropriale time to investigate the extent of coronary artery disease and left ventricular ejection fraction．We can evaluate the significance of performing treadmill exercise test at early stage of acute myocardial infarction． Methods 111e symptom--limited treadmill exercise test was carried out in 60 patients with acute myocardial infarction before coronary angiography．The average timing of the treadmill exercise test was 32 days(10一53days)．The coronary angiography and left ventriculography were performed to determine the extent of coronary artery disease(single vessel disease．two vessel disease．three vessel disease) and left ventricular ejection fraction．Some related parameters were evaluated． Results 111e sensitivity specificity positive predictive value and negative predictive value in predicting multivessel disease by exercise—induced ST segment depressionO．1mv was 62％、67％、76％、50％ respectively．The sensitivity specificity positive predictive value and negative predictive value in predicting multivessel disease by METS≤6．0 was 46％86％85％ 52％．However，the sensitivity specificity positive predictive value and negative predictive value in predicting multivessel disease by exercise-induced ST segment depr