Objectives:Analyzed the risk factors and the value of non-invasive examinations in the diagnosis of cardiac heart disease. Methods: Retrospectively analyzed risk factors and the results of non-invasive examinations and coronary angiography in 81 female patients who admitted in our hospital from Jan

2003 to Jan

2007 with chest pain. Results:The average age of patients was 67.45±10.24. Total 50 cases were diagnosed as coronary heart disease and 31 cases were excluded. Among 50 cases of coronary heart disease

20 cases belonged to single-vessel disease(40%) and 30 cases belonged to 2-3 vessels disease(60%). The sensitivity of non-invasive examinations such as regular EKG

treadmill

Holtor

ultrasound of carotid artery and heart is 44%

74%

58%

76% and 40%

respectively. Specificity of those are 55%

65%

55%

52% and 81% respectively. Accuracy of those are 48%

70%

58%

67% and 56%. Conclusions:Among all the non-invasive examinations

ultrasound of carotid artery has the highest sensitivity followed by treadmill; echocardiography has the best specificity while treadmill has the best accuracy. Menopausal middle-aged and elderly population was more susceptible for female coronary heart disease. Perimenopausal population usually had low incidence unless the patient was accompanied by diabetes.Meanwhile

they usually had multiple-vessel disease.Patients with chest pain as well as hypertension

diabetes and hyperlipidemia should receive coronary angiography as soon as possible even without abnormality in non-invasive examinations.