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急性ST段抬高型与非ST段抬高型心肌梗死患者血清心肌肌钙蛋白T浓度对比 被引量:15

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摘要 目的探讨急性心肌梗死(AMI)患者血清心肌肌钙蛋白T(cTnT)浓度对ST段抬高型AMI与非ST段抬高型AMI的诊断价值。方法分析2007年1月至2011年10月在该院就诊的113例AMI患者,对比发病后4 h血清cTnT浓度,并比较其中转上级医院行冠脉造影的53例AMI患者相关冠状血管完全闭塞与不完全闭塞血清cTnT浓度。结果①61例ST段抬高型AMI,cTnT浓度为(0.90±0.69)ng/ml,52例急ST段抬高型AMI,cTnT浓度为(0.65±0.50)ng/ml,两组cTnT浓度比较差异有统计学意义(P<0.01)。②31例ST段抬高型AMI冠脉造影证实相关冠状血管完全闭塞的28例患者cTnT浓度为(0.94±0.71)ng/ml,22例非ST段抬高型AMI冠脉造影证实相关冠状血管不完全闭塞的19例患者cTnT浓度为(0.69±0.55)ng/ml,两组cTnT浓度对比差异有统计学意义(P<0.001)。结论 ST段抬高型AMI患者血清cTnT浓度明显高于非ST段抬高型AMI患者血清cTnT浓度较高的AMI多见于相关的冠状血管完全闭塞。
作者 朱平辉 王军
出处 《中国老年学杂志》 CAS CSCD 北大核心 2012年第16期3385-3386,共2页 Chinese Journal of Gerontology
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  • 1苗志敏,于宏伟,徐庆科,范洪亮,赵文娟,于素清,王士珍,王珍.急性心肌梗塞时血清肌钙蛋白T的动态变化与临床意义[J].中华心血管病杂志,1995,23(1):36-39. 被引量:55
  • 2[1]Katus HA,Looser S, Hallermayer K et al. Development and in vitro characterization of a new immunoassay of cardial troponin T[J].Clin Chem, 1992,38:386.
  • 3[2]Katus HA, Rempppis A, Scheffold T, et al. Intercellular compartmentation of cardial troponin T and its release kinetics in patients with reperfused and nonreperfused myocardial infarction[J]. Am J Cardiol,1991,67:1360.
  • 4[3]Johannes M, Doris M. Equivalent earal sensitivities of myoglobin, creatine kinase MB mass, creatine kinase isoform ratios, and cardiac troponins 1 and T for acute myocardial infarction[J]. Clin Chem,1995,41(9):1266.
  • 5Alpert J S, Thygesen K, Antman E, et al. Myocardial infarction redefined: a consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. J Am Coll Cardiol , 2000,36:959.
  • 6Feruson JL, Beckett GJ, Stoddart M, et al. Myocardial infarction redefined: the new ACC/ESC definition, based on cardiac troportia, increases the apparent incidence of infarction. Heart,2002,88(4) :343.
  • 7Meier MA, Albar WH, Cooper JV, et al. The new definition of myocardial infarction : diagnostic and prognostic implications in patients with acute coronary syndromes. Arch Intern Med, 2002,162(14): 1585.
  • 8Sousa E, Costa MA, Sousa A, et al. Two- year angiographic and intravascular ultrasound follow- up after implantation of sirolimus-eluting stents in human coronary arteries. Circulation, 2003,107:381.
  • 9Grube E , Silber S, Eugen HK, et al. Six- and twelve- month results from a randomized, double- blind trial on a slow- release paclitaxel - eluting stent for de novo coronary lesions. Circulation,2003,107 : 38.
  • 10Braunwald E, Antman EM, Califf RM, et al. Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients with Unstable Angina). Circulation, 2002, 106:1893.

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