RESEACH ON THE EXERCISE TESTING COMPARE TO THE RESULT OF CORONARYGRAPHY IN PATIENTS WITH CHEST PAIN
Objective and Materials: The research was conducted on 60 patients with chest pain (average age: 56.67 ± 9.28, oldest is 79 and youngest is 36). Patients were applied exercise testing for orient diagnose coronary disease, especially for assessment the sensitivity and the specific of ST/R rate in diagnosing cardiac muscle local ischemia and to compare with the result of coronarygraphy. Results: There were 17 patients with possitive exercise testing result (28.3%) and possitive exercise testing result (71.7%). The risk factors of patients with chest pain took 88.3%, in which serum lipid disorder was 76.7%, hypertension was 60.0%, obesity (48.3%), smoking (40.0%) and diabetes (23.3%). There was no statistic significant difference between coronarygraphy(-) and coronarygraphy(+), p>0.05. There was statistic significant difference about heart rate parameters, exercise capacity, double multiply (HRxTA), HR recovery and systolic blood pressure between two groups of specific chest pain and nonspecific chest pain, p<0.05. There was statistic significant difference between the index of exercise testing and coronarygraphy result, p<0.05. Exercise testing by bicycle in diagnosing coronary disease has the sensitivity, the specific, the accuracy, positive forecast value and negative forecast value was 59.09%, 89.47%, 78.33%, 76.47%, 79.07%, respectively. The R wave in diagnosing coronary disease has the sensitivity, the specific, the accuracy, positive forecast value and negative forecast value was 77.27%, 23.68%, 43.33%, 36.96%, 64.29%, respectively. The rate ST/R in diagnosing coronary disease has the sensitivity, the specific, the accuracy, positive forecast value and negative forecast value was 50.00%, 94.74%, 78.33%, 84.62%, 76.60%, respectively.