摘要
目的:为证实不稳定性心绞痛(UA)患者心肌微小损伤的发生及其近期预后价值。方法:对37例UA患者进行单次采血测定血清心脏肌钙蛋白T(cTnT)并常规治疗和严密观察2周。结果:17例血清cTnT阳性UA患者中6例在2周内发生心脏意外事件,而20例血清cTnT阴性UA患者中仅1例在2周内发生心脏意外事件。结论:血清cTnT检测对识别高危UA患者有一定临床价值,血清cTnT阳性提示存在心肌微小损伤的UA患者近期预后不良。
? Objective:To confirm the incidence and prognostic value of minor myocardial damage(MMD) in patients with unstable angina pectoris(UA). Methods:A single blood sample was drawn for measurement of cardiac troponin T(cTnT) from each of 37 UA patients who were then given routine treatment and close observation for 2 weeks. Results:Among the 17 patients with positive cTnT 6 developed cardiac events within 2 weeks,while only 1 did among the 20 UA patients with negaive cTnT. Conclusion:The detection of cTnT has a certain clinical value in identifying high risk UA patients.Positive cTnT indicates that UA patients with MMD had an unfavourable shortterm prognosis.
出处
《中国循环杂志》
CSCD
北大核心
1998年第2期82-83,共2页
Chinese Circulation Journal
关键词
肌钙蛋白T
心绞痛
预后
Troponin T
Angina pectoris
Prognosis