【摘要】 目的：探索运动平板试验诱发室性心律失常在冠心病诊断中的应用价值。方法：选取2015年6月-2019年4月在笔者所在医院行平板运动试验诱发室性心律失常患者68例。所有患者在平板运动试验后再进行冠状动脉造影。观察平板运动结果对冠心病诊断的敏感性与特异性;对比分析平板运动试验诱发室性心律失常在冠状动脉造影阳性患者与阴性中的表现。结果：平板运动试验对诊断冠心病的敏感性、特异性、假阳性率和假阴性率分别为87.8%、85.2%、14.8%和12.2%。冠状动脉造影阳性患者中频发、多源、成对室早发生率及短阵室速发生率显著高于阴性患者，且差异有统计学意义(P<0.05)。结论：运动平板试验可诱发室性心律失常，发现隐性的心肌缺血情况，其诱发的频发、多源、成对室早及短阵室速等可以作为冠心病诊断的参考依据。

    【关键词】 运动平板试验 冠状动脉造影 冠心病 心律失常

    [Abstract] Objective： To explore the value of ventricular arrhythmia which induced by treadmill exercise test in the diagnosis of coronary heart disease. Method： A total of 68 patients with ventricular arrhythmia induced by treadmill exercise test in our hospital from June 2015 to April 2019 were selected. All patients were underwent coronary angiography after treadmill exercise test. The sensitivity and specificity of treadmill exercise test in the diagnosis of coronary heart disease were observed and the manifestations of ventricular arrhythmia induced by treadmill exercise test in patients with positive and negative coronary angiography were analyzed. Result： The sensitivity ......