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관동맥 질환의 진단에 운동부하 심초음파도 검사의 유용성

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Author(s)
김기식송영성
Keimyung Author(s)
Kim, Kee Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
순환기
Issued Date
1992
Volume
22
Issue
4
Keyword
Stress echcardigraphyCoronary artery disease
Abstract
BACKGROUND: To evaluate the usefulness of exercise echocardiography in diagnosis of coronary artery disease and to compare it with exercise ECG test. METHOD: We performed exercise test in 48 patients who suffered from angina-like chest pain, according to the modified Bruce protocol. During exercise, we observed the ECG changes and recored the images of left ventricular wall motion before and after exercise on the video tape. The echocardiogram were digitally stored and displayed in a format that allowed simultaneous analysis of rest and stress images. Newly developed left ventricular wall motion abnormalities were determined as positive findings. RESULTS: The feasibility of exercise echocardiography was 75%. The sensitivity and specificity fo exercise ECG test was 67% and 89%. The sensitivity and specificity of exercise echocardiography was 85% and 100%. The sensitivity of ECG and echocardiography was 50%(7 of 14) and 78.6%(11 of 14) in those with one-vessle disease and 84.6%(11 of 13) and 92.3%(12 fo 13) in those with multi-vessle disease. CONCLUSION: Exercise stress echocardiography was very usefull method for detecting the coronary artery disease especially in single vessle disease. And it had much higher accuracy than the stress ECG test.
Alternative Title
The Usefulness of Exercise Stress Echocardiography in Diagnosis of Coronary Artery Disease
Keimyung Author(s)(Kor)
김기식
Publisher
School of Medicine
Citation
김기식 and 송영성. (1992). 관동맥 질환의 진단에 운동부하 심초음파도 검사의 유용성. 순환기, 22(4), 583–590. doi: 10.4070/kcj.1992.22.4.583
Type
Article
ISSN
1225-164X
DOI
10.4070/kcj.1992.22.4.583
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36710
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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