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急性心肌梗死患者血浆B型钠尿肽浓度与心肌梗死面积的相关性
引用本文:牛甲民,秦爱丽.急性心肌梗死患者血浆B型钠尿肽浓度与心肌梗死面积的相关性[J].临床心血管病杂志,2010,26(5).
作者姓名:牛甲民  秦爱丽
作者单位:莱芜市人民医院心内科,山东莱芜,271100
摘    要:目的:研究急性心肌梗死(AMI)患者血浆B型钠尿肽(BNP)浓度与心肌梗死(MI)面积的相关性。方法:AMI患者80例为AMI组,30例健康志愿者为对照组,2组均行血浆BNP检测、心脏磁共振检查,分析BNP浓度与MI面积的关系。结果:AMI组血浆BNP与MI面积呈正相关(r=0.645,P<0.01),与左室射血分数呈负相关(r=0.297,P<0.05)。多元回归分析显示仅MI面积是BNP的独立相关因素(r2=0.32,f=7.712,P<0.01)。将BNP水平设在150 ng/L时,诊断MI面积>10%的敏感性为85.1%,特异性为70.4%。结论:AMI患者血浆BNP浓度与MI面积密切相关,检测BNP浓度可以粗略评估MI面积。

关 键 词:心肌梗死  B型钠尿肽  心肌梗死面积  磁共振灌注成像  

Correlation study of plasma concentration of B-type natriuretic peptide and infarct size in patients with acute myocardial infarction
NIU Jiamin,QIN Aili.Correlation study of plasma concentration of B-type natriuretic peptide and infarct size in patients with acute myocardial infarction[J].Journal of Clinical Cardiology,2010,26(5).
Authors:NIU Jiamin  QIN Aili
Institution:Department of Cardiology/a>;the People's Hospital of Laiwu/a>;Laiwu/a>;271100/a>;China
Abstract:Objective: To study the correlation between the plasma concentration of B-type natriuretic peptide(BNP) and the infarct size in patients with acute myocardial infarction.Method: Eighty patients with acute myocardial infarction were taken as MI Group while 30 healthy volunteers were regarded as control group.Both of the magnetic resonance imaging of the heart and the plasma concentration of BNP were investigated,and then the relationship between the plasma concentration of BNP and the myocardial infarct size...
Keywords:myocardial infarction  B-type natriuretic peptide  mycardial infraction size  magnetic resonance perfusion imaging  
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