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頁籤選單縮合
題 名 | 飛行員冠狀動脈疾病檢驗方法與替代方案探討=Coronary Artery Disease Screening in Military Pilots above Age 40: Current Practice and Alternative Considerations |
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作 者 | 陳則瑋; | 書刊名 | 中華民國航空醫學暨科學期刊 |
卷 期 | 27:1/2 2013.12[民102.12] |
頁 次 | 頁37-42 |
分類號 | 412.85 |
關鍵詞 | 飛行員; 冠狀動脈; 運動心電圖; 核醫心肌灌注造影; 電腦斷層冠狀動脈攝影; Pilot; Coronary artery; Exercise EKG; Myocardial perfusion scan; CT coronary angiography; |
語 文 | 中文(Chinese) |
中文摘要 | 運動心電圖是目前篩檢40歲以上空勤人員冠狀動脈疾病的第一線檢測方式,具有方便性、成本低廉與無輻射等好處,然而其對飛行員這個低度心血管危險族群,檢測結果偽陽性偏高,整體敏感度偏低,大約為六至八成,若換算成偽陰性也是偏高。如果單獨以運動心電圖結果作為是否進一步以心導管診斷的依據,可能會因偽陽性偏高而造成飛行員接受非必要的侵入性檢查;反之,也可能會因偽陰性而疏漏診斷。本報告回顧與綜整近十多年來各相關論文,以實證資料比較當代診斷冠心病之不同方法,期許能使航醫從中掌握各項檢查的診斷率與可行性,並藉由優缺點的交叉分析,提供實務上執行的依據及未來國軍增修空勤人員冠心疾病篩檢處置流程的參考。 |
英文摘要 | Annual exercise EKG test is mandatory for military pilots above age 40. However, studies have shown that for this low coronary artery disease risk population, the examination was low in sensitivity and high in both false-positive and false negative rate. Solely dependent on the result of exercise EKG as indication for confirmatory test such as cardiac catheterization would expose some pilots to unnecessary invasive examinations, also could underestimate the risk of coronary artery disease in others. The author compared diagnostic and screening tests for coronary artery disease based on published studies and provided suggestions regarding initial screening tests for coronary artery disease in military pilots. |
本系統中英文摘要資訊取自各篇刊載內容。