广州医药 ›› 2020, Vol. 51 ›› Issue (1): 28-31.DOI: 10.3969/j.issn.1000-8535.2020.01.007

• 论著 • 上一篇    下一篇

平板运动试验阳性者冠脉造影结果预警冠心病

李青1, 王丽颖2, 叶沈锋3   

  1. 1 浙江大学医学院附属第二医院心电图室(杭州 310002)
    2 福建省立医院心电图室(福州 350001)
    3 浙江大学医学院附属第二医院心电图室(杭州 310002)
  • 收稿日期:2019-08-29 出版日期:2020-01-20 发布日期:2021-11-28
  • 通讯作者: 王丽颖, E-mail:601100165@qq.com

Results of coronary angiography in patients with positive treadmill exercise test give early warning of coronary heart disease

LI Qing1, WANG Liying2, YE Shenfeng3   

  1. 1 Department of Electrocardiogram, The Second Affiliated Hospital of Medical College of Zhejiang University,Hangzhou 310002,China;
    2 Department of Electrocardiogram,Fujian Provincial Hospital, Fuzhou 350001,China;
    3 Department of Electrocardiogram, The Second Affiliated Hospital of Medical College of Zhejiang University,Hangzhou 310002,China
  • Received:2019-08-29 Online:2020-01-20 Published:2021-11-28

摘要: 目的 分析平板运动试验阳性患者行冠脉造影检查后结果阳性者与冠心病的高危因素的关联性,从而预警冠心病。方法 选取浙江大学医学院附属第二医院2016年3月—2019年3月行平板运动试验的阳性患者经冠脉造影结果为阳性,且资料完整者280例患者为研究对象,筛选出影响冠心病的独立危险因素。结果 性别、体质量指数(BMI)、高甘油三酯、平板恢复1、2 min心率是影响冠心病的独立危险因素。结论 对于男性、BMI>24、高甘油三酯、平板恢复1、2 min心率异常的患者,当其平板运动试验为阳性时,应建议其进一步行冠脉造影检查。

关键词: 平板运动试验, 阳性, 冠脉造影, 冠心病

Abstract: Objective To analyze the correlation between coronary angiography and the risk factors of coronary heart disease in patients with positive treadmill exercise test, so as to give early warning of coronary heart disease. Methods A total of 280 patients who underwent treadmill exercise tests from March 2016 to March 2019 in the Second Affiliated Hospital of Medical College of Zhejiang University were selected as the study subjects with positive coronary angiography results and complete data to screen out independent risk factors for coronary heart disease. Results Gender, body mass index, high triglycerides, high cholesterol, heart rate after 1 or 2 minutes of tablet recovery were the risk factors for positive coronary angiography. Conclusion For men, patients with BMI>24, high triglycerides, and abnormal heart rate after 1 or 2 minutes of tablet recovery, when the treadmill exercise test is positive, further coronary angiography should be recommended.

Key words: Treadmill exercise test, Positive, Coronary angiography, Coronary heart disease (CHD)