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对诊断冠脉痉挛引起心肌缺血(冠不全)、心绞痛及心肌梗塞,采用一般心电图检查,其敏感性与特异性多不完善。但将心电图检查和临床表现与其他检查有机结合起来,会提高心电图诊断冠心病的阳性率。本文就1984~1986年健康检查中应用运动试验加心电图检查的108例及其随访材料作一分析,并对其早期临床意义进行初步探讨 一般材料 108例中,男85例,女23例,年龄42~68岁,平均56.7岁。职业:干部63例,工人21例,职员12例,其他12例全部经询问病史,体检,常规心电图,胸片,超声心动,血液等检测。
On the diagnosis of coronary artery spasm caused by myocardial ischemia (incomplete), angina pectoris and myocardial infarction, the general ECG, the sensitivity and specificity are more imperfect. However, the combination of ECG examination and clinical examination with other tests will improve the positive rate of ECG diagnosis of coronary heart disease. In this paper, the 1984 ~ 1986 health examination using exercise test plus ECG examination of 108 cases and their follow-up materials for an analysis of its early clinical significance of a preliminary study of 108 general materials, 85 males and 23 females, age 42 ~ 68 years old, average 56.7 years old. Occupation: 63 cadres, 21 workers, 12 staff members, the other 12 cases were all asked medical history, physical examination, conventional electrocardiogram, chest X-ray, echocardiography, blood and other tests.