The Clinical Research About Value Of Treadmill Exercise Test In The Diagnosis In Female With Coronary Heart Disease

Objective:1. To investigate exercise treadmill test diagnosis and predictive value for perimenopausal period and postmenopausal female doubtful coronary heart disease patients.2. To compare disparation about exercise treadmill test diagnosis and predictive value for perimenopausal period and postmenopausal female doubtful coronary heart disease patients.3. To investigate disparation about exercise treadmill test diagnosis and predictive value for diabetes mellitus and no diabetes mellitus female doubtful coronary heart disease patients.4. To investigate exercise treadmill test multiple combine index to diagnosis and predictive value for perimenopausal period and postmenopausal female doubtful coronary heart disease patients.Methods;Through analysis from 2009 to 2011 female suspect of coronary heart disease patients of 382 subjects in heart centers of Shihezhi Fourth Hospital Affiliated Medical College of Shihezhi University, one after another take exercise treadmill test and coronary arteriongraphy, coronary arteriongraphy was gold standard to predict the value of exercise treadmill test in perimenopausal period female and postmenopause female. to aim at further to evaluate used noninvasive diagnostic test of analysis female suspect of coronary heart disease value and utilization prospectResults:In 382 subjects with exercise treadmill test, mean age 58.18±10.70years, Minimus age32 years, Maximum age77 years, among the total premenopause female suspect of coronary heart disease 23 subjects(6.0%), perimenopausal period female suspect of coronary heart disease 175 subjects(45.8%), postmenopausal female suspect of coronary heart disease 184 subjects(48.2%). total masccline rate 42.93%,exercise treadmill test in diagnosis coronary heart disease in distinct age stage female suspect of coronary heart disease were73.6%,71.98%,56.1%,84.86%,28.02%,26.4%, and 72.5%; in perimenopausal period group were69.69%,64.08%,31.08%,90.09%,35.92%, 30.3%,and65.14%; in postmenopausal group were77.9%,82.24%,75.94%,83.8%, 17.75%,22.08%, and78.26%; exercise treadmill test multiple combine index in diagnosis coronary heart disease in distinct age stage female suspect of coronary heart disease were97.32%,81.82%,98.2%,75%,18.18%,2.68%,95.93%, exercise treadmill test in diagnosis coronary heart disease in distinct age stage female with diabetes suspect of coronary heart disease were92.68%,79.17%,88.37%,86.36%,20.83%, 7.32%and 87.69%Conclusion:Treadmill exercise test was used widespread and security, used as noninvasive diagnostic test of CHD. It had moderate degree sensitivity. perimenopausal period female false positive rate of TET was higher, The diagnostic of TET may be more valuable in DM or hypertension patients. Analysis of the result of ETT combining with multiple indexs will improve the accuracy of diagnosis of female CHD.