摘要
Objective: To compare the diagnostic value of coronary angiography and cardiac ultrasound in segmental ventricular wall motion abnormalities of coronary heart disease. Methods: 60 cases of coronary artery disease patients admitted to Balihan Town Central Health Hospital of Ningcheng County, Chifeng City, Inner Mongolia, from February 2021 to February 2024 were treated as the research subjects, and they were divided into the control group (n = 30) and the observation group (n = 30) according to the sequence of the admission time of the patients, and the control group performed conventional coronary artery angiography, and the observation group performed cardiac ultrasound for diagnosis, and the diagnostic accuracy and incidence of adverse reactions in the patients of the two groups were compared. The diagnostic accuracy and the incidence of adverse reactions were compared between the two groups. Results: The results of the study showed that the correct diagnostic rate of coronary angiography was 30/30 (100.00%), and the diagnostic accuracy of cardiac ultrasound was 29/30 (96.67%), and there was no statistically significant difference in the diagnostic accuracy of the patients in the two groups (P < 0.05). In the comparison of the adverse reactions, the control group had 3 cases of nausea, 1 case of dizziness, and 1 case of vomiting, a total of 5 cases, and the incidence was 16.67%, while the observation group did not have any adverse reaction, and the incidence was 16.67%. 16.67%, the observation group did not have any adverse reactions, and the two groups of patients were statistically significant in the comparison of data (P < 0.05). Conclusion: Compared with coronary angiography diagnosis, the diagnostic accuracy of cardiac ultrasound is slightly lower, but within the acceptable range, and can reduce the incidence of adverse reactions after examination, which is worthy of clinical promotion and application.
参考
Wang K, Yu X, Ma L, et al., 2024, Effect of Abnormal Thyroid Function on Cardiac Structure and Function After Percutaneous Coronary Intervention in Patients with Coronary Artery Disease: A Large Single-Centre Retrospective Cohort Study. Chinese Family Medicine, 27(27): 3351–3358.
Ren H, 2021, Analysis of the Effect of Cardiac Ultrasound in Diagnosing Segmental Ventricular Wall Motion Abnormalities in Coronary Artery Disease. Dietary Health Care, 2021(16): 253.
Li S, 2020, Clinical Study of Segmental Ventricular Wall Motion Abnormality in Coronary Heart Disease Diagnosed by Cardiac Ultrasound. Imaging Research and Medical Applications, 4(13): 123–124.
Zhang Y, Wang H, Liu Y, et al., 2024, Comparison of Echocardiography and Magnetic Resonance Imaging in the Assessment of Cardiac Function in Patients with Coronary Heart Disease Combined with Heart Failure. Chinese Journal of Evidence-Based Cardiovascular Medicine, 16(2): 217–220.
Abduljili N, Abdureyimu A, Shaguti M, 2023, Predictive Value of Carotid Ultrasonography Combined with Serum ADAMTS-1 and HMGB1 on the Nature of Carotid Plaque in Coronary Artery Disease. Shandong Medicine, 63(29): 51–54.
Chinese Physicians Association Radiologists Branch, 2024, Chinese Expert Consensus on CT Examination and Diagnosis of Coronary Heart Disease. Chinese Journal of Radiology, 58(2): 135–149.
Yu Y, Cao J, Yu X, et al., 2023, Analysis of Recent Efficacy of Echocardiography in the Treatment of Coronary Heart Disease Combined with Severe Ischaemic Mitral Regurgitation. Chinese Journal of Clinical Medical Imaging, 34(4): 246–249.
Raza NZ, Amir SG, Riffat M, et al., 2020, Diagnostic Accuracy of Carotid Intima Media Thickness by B-Mode Ultrasonography in Coronary Artery Disease Patients. Archives of Medical Sciences. Atherosclerotic Diseases, 5: e79–e84.
Zuo M, Wang D, Xin H, et al., 2023, Analysis of Perioperative Inflammatory Factor Changes and Factors Related to Myocardial Injury in Patients with Coronary Artery Disease. Journal of Bengbu Medical College, 48(9): 1258–1261.
Gao M, Shen L, Shi G, et al., 2021, Comparative Study of Intravascular Ultrasound Findings in Elderly Patients with Coronary Artery Disease with Different Uric Acid Levels. Chinese Journal of Geriatrics, 40(3): 297–300.
Wu S, 2020, Analysis of the Effect of Cardiac Ultrasound in Diagnosing Segmental Ventricular Wall Motion Abnormalities in Coronary Artery Disease. Imaging Research and Medical Application, 4(18): 178–179.
Hu X, Ge G, Zhou C, 2020, Clinical Analysis of Segmental Ventricular Wall in Coronary Heart Disease Diagnosed by Cardiac Ultrasound. Chinese and Foreign Women’s Health Research, 2020(18): 180–181.