urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.25694/URMJ.2018.10.24urmj-323Research ArticleКАРДИОЛОГИЯCARDIOLOGYМесто стресс - ЭкГ тестирования в диагностике преходящей ишемии миокарда в современных условияхStress ECG testing in detection of transient myocardial ischemia under present - day conditionsТодосийчукВиктор ВикторовичTodosiychukV. V.vvt@cardio.tmn.ruЛыкасоваЕлена АлександровнаLykasovaE. A.noemail@neicon.ruТюменский кардиологический научный центр; Томский национальный исследовательский медицинский центр РАНRussian Federation2018140420210107276Copyright © Тодосийчук В.В., Лыкасова Е.А., 20212021Тодосийчук В.В., Лыкасова Е.А.Todosiychuk V.V., Lykasova E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/323

В связи с широким внедрением в кардиологическую практику новых визуализирующих методов диагностическая значимость традиционных стресс-ЭкГ тестов требует подтверждения. Целью исследования явилась оценка диагностической значимости тредмил-тестов в диагностике ишемии миокарда. В исследование было включено 46 пациентов (средний возраст 55,1±8,5 лет). результаты были сопоставлены с данными коронароангиографии. Чувствительность тредмил - тестов составила 84,0%, специфичность - 52,38%, положительная прогностическая значимость - 67,74%, отрицательная прогностическая значимость - 73,33%. У пациентов с положительным тестом чаще отмечалось многососудистое поражение коронарного русла (32,3% против 6,7%, р=0,01), была ниже толерантность к физической нагрузке. Таким образом, в условиях повседневной клинической практики стресс - ЭКГ тестирование по - прежнему остается доступным и высокоинформативным методом выявления преходящей ишемии миокарда.

Due to the widespread introduction into current cardiology practice new visualization methods for transitory myocardial ischemia diagnosis, the feasibility routine exercise ECG tests is being questioned. The purpose of this investigation was to assess the diagnostic significance of submaximal ex-ercise ECG tests in 46 patients (55,1±8,5 years). The tests results were compared with coronaroangi-ography findings. Exercise tests sensitivity was 84.0%, specificity - 52.38%, positive predictive value - 67.74% and negative predictive value - 73.33%. Patients with positive tests had more mul-tivessel coronary artery disease (32,3% vs 6,7%, p=0,01) and significantly lower the level of exercise tolerance. Thus, in current practice exercise ECG tests remains a highly informative method of transitory myocardial ischemia diagnosis.

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The authors declare that there are no conflicts of interest present.