What does it mean to have a suspicious positive plus or minus result on an exercise plate electrocardiogram?

Exercise plate electrocardiogram results of suspicious positive means that the test results can not diagnose or exclude coronary heart disease, need to be further clarified by coronary angiography or CT examination. Exercise plate test is a kind of examination means to assist in the diagnosis of coronary heart disease by increasing the intensity of exercise, increasing the cardiac load to induce palpitation ischemia. The criteria for a positive result are the presence of typical angina pectoris during exercise, and the presence of ST-segment depression of ≥0.1mV in the horizontal or downward sloping pattern on the ECG lasting for 2 minutes. A suspected positive result indicates that the patient has experienced some degree of abnormal changes on the ECG, although the positive criteria have not yet been met, provided that the intensity of exercise is increased. Since there is a certain percentage of false positives and false negatives in this test, a suspected positive exercise ECG alone cannot be used as a diagnostic or exclusion criterion for coronary artery disease, but needs to be combined with the patient’s symptoms and other examinations, and if necessary, further improve the coronary artery CT or angiography, to clearly determine whether there is a definite stenosis of the coronary artery. If a definite stenosis does exist, it should be actively treated. When there is discomfort in the precordial region, it is recommended to consult the cardiovascular department in time, improve relevant examinations and laboratory tests, and follow the doctor’s instructions for treatment.