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经食管心房调搏心脏负荷试验已用于冠心病诊断,潘生丁静注诱发心肌缺血亦为诊断方法之一.1991年我们对潘生丁-食管心房调搏心电图负荷复合试验(简称复合试验)诊断冠心病的价值作了初步探讨,现报道如下.1 对象与方法1.1 对象本文病例包括:①冠心病组35例,男21例,女14例;年龄51～67(平均59.3)岁.均符合1979WHO冠心病诊断标准,除外心肌梗塞.②可疑冠心病组:31例,男19例,女12例;年龄41～63(平均49.3)岁.均有不典型心绞痛,并有高血压、糖尿病和高脂血症等一种或一种以上冠心病易患因素.③正常对照组:34例,男21例,女13例;年龄21～47(平均34.3)岁.经询问病史及各种检查基本排除冠心病及冠心病易患因素.全部病例试验前停用β-受体阻滞剂、钙离子拮抗剂和硝酸甘油类药物.
Transesophageal atrial pacing cardiac load test has been used for the diagnosis of coronary heart disease, dipyridamole intravenous injection of myocardial ischemia is also one of the diagnostic methods in 1991 we dipympiany - esophageal atrial pacing ECG load composite test (referred to as composite test) The value of heart disease made a preliminary discussion, are reported below.1 objects and methods 1.1 objects in this case include: ① coronary heart disease group of 35 patients, 21 males and 14 females, aged 51 to 67 (average 59.3) years of age are in line with 1979 WHO Diagnostic criteria of coronary heart disease, except for myocardial infarction.② Suspected coronary heart disease group: 31 cases, 19 males and 12 females, aged from 41 to 63 (average 49.3) years of age with atypical angina pectoris and hypertension, diabetes and high Lipids and other one or more risk factors for coronary heart disease.③normal control group: 34 cases, 21 males and 13 females, aged 21 to 47 (average 34.3) years old.After asking the medical history and various examinations basic Exclusion of coronary heart disease and coronary heart disease risk factors.Discontinuation of β-blockers, calcium antagonists and nitroglycerin before all cases.