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常规心电图ST段压低对老年2型糖尿病患者发生冠心病的预测价值
引用本文:翟南江,陈思敏,张莉.常规心电图ST段压低对老年2型糖尿病患者发生冠心病的预测价值[J].实用心脑肺血管病杂志,2014(1):91-92.
作者姓名:翟南江  陈思敏  张莉
作者单位:广东省广州市,广东省第二人民医院超声科心电图室510317
摘    要:目的探讨常规心电图ST段压低对老年2型糖尿病患者发生冠心病的预测价值。方法选择我院2011年1月—2013年3月收治的老年2型糖尿病患者72例,均完善常规心电图检查,并行冠状动脉造影明确诊断。结果常规心电图ST段压低诊断冠心病的敏感度为84.2%(48/57),特异度为66.7%(10/15),准确度为80.6%(58/72)。结论常规心电图ST段压低对老年2型糖尿病患者冠心病诊断的敏感度和特异度较高,有较好的临床预测价值。

关 键 词:冠心病  心电描计术  ST段压低  老年人  糖尿病  2型

Predictive Value of Conventional ECG ST Segment Depression on the Coronary Heart Disease in Elderly Patients withType 2 Diabetes Mellitus
ZHAI Nan -jiang,CHEN Si - min,ZHANG Li.Predictive Value of Conventional ECG ST Segment Depression on the Coronary Heart Disease in Elderly Patients withType 2 Diabetes Mellitus[J].Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease,2014(1):91-92.
Authors:ZHAI Nan -jiang  CHEN Si - min  ZHANG Li
Affiliation:. Department of Ultrasound ECG, the Second Peo- ple ' s Hospital of Guangdong Province, Guangzhou 510317, China
Abstract:Objective To investigate the predictive value of conventional ECG ST segment depression on the coronary heart disease in elderly patients with type 2 diabetes mellitus. Methods 72 elderly patients with type 2 diabetes mellitus in our hospital were chosen from January 2011 to March 2013, they were perfected conventional ECG and coronary angiography for fur- ther diagnosis. Results The sensitivity of coronary heart disease was 84. 2 % ( 48/57 ), specificity was 66. 7% ( 10/15 ), and accuracy was 80.6% (58/72) diagnosed by conventional ECG ST segment depression in elderly patients with type 2 diabe- tes mellitus. Conclusion The sensitivity and specificity of conventional ECG ST segment depression are satisfactory on the diag- nosis of coronary heart disease in elderly patients with type 2 diabetes routine, which has better predictive value.
Keywords:Coronary disease  Electrocardiography  ST segment depression  Aged  Diabetes mellitus  type 2
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