Comparative Study on the Diagnosis Values of Stress Myocardial Perfusion Imaging and Stress Electrocardiogram with Higenamine Hydrochloride in Coronary Heart Disease
CAO Yan, SHAO Guo-qiang, ZHANG Le-le, MENG Qing-le,YANG Rui, WANG Xiao-wen,WANG Feng
Department of Nuclear Medicine, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing Jiangsu 210006, China
Abstract：Objective To compare the diagnosis values of stress myocardial perfusion imaging (MPI) and stress electrocardiogram (ECG) with Higenamine Hydrochloride (HG) in coronary heart disease (CHD). Methods In the process of stress test with HG for myocardial perfusion, observe the ECG changes of 70 patients who simultaneously underwent the examinations of both stress MPI with HG and coronary angiography (CAG), and then compare the results with those of stress MPI and CAG. Results With the results of CAG as the gold standard, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of stress MPI in diagnosing CHD were 55.8%, 92.6%, 92.3%, 56.8% and 70%, respectively, while those of stress ECG were 74.4%, 29.6%, 62.7%, 42.1% and 57.1%, respectively. Thus, the specificity and positive predictive value of stress MPI in diagnosing CHD were obviously higher than those of stress ECG (P<0.01) while there was no significant difference in the sensitivity, negative predictive value and accuracy between stress MPI and stress ECG in diagnosing CHD (P＞0.05). Conclusion HG can be used as a drug for stress MPI and stress ECG to diagnose CHD while the specificity of stress MPI is higher than that of stress ECG.
曹艳，邵国强，张乐乐，孟庆乐，杨瑞，王晓雯，王峰. 盐酸去甲乌药碱负荷心肌灌注显像与负荷心电图对冠心病诊断价值的对比研究[J]. 中国医疗设备, 2014, 29(10): 104-107.
CAO Yan, SHAO Guo-qiang, ZHANG Le-le, MENG Qing-le,YANG Rui, WANG Xiao-wen,WANG Feng. Comparative Study on the Diagnosis Values of Stress Myocardial Perfusion Imaging and Stress Electrocardiogram with Higenamine Hydrochloride in Coronary Heart Disease. China Medical Devices, 2014, 29(10): 104-107.
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