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| The Role of Bedside Troponin T Test for Identification of High Risk Patients With Acute Chest Pain | |
| 引用本文： | 郭晓碧 冯建章 郭衡山. The Role of Bedside Troponin T Test for Identification of High Risk Patients With Acute Chest Pain[J]. 岭南心血管病杂志(英文版), 2005, 6(2): 90-94,133 |
| 作者姓名： | 郭晓碧 冯建章 郭衡山 |
| 作者单位： | [1]Department of Cardiology, Guangzhou Red Cross Hospital, The Fourth Affiliated Hospital of Medical College ofJinan University, Guangzhou 510000, China [2]Guangdong provincial Cardiovascular Institute, Guangzhou 510100, China |
| 基金项目： | The authors thank Prof. Chengbin Xu for good opinions about this paper. This study was supported by Science Research Fund of Guangzhou Red Cross Hospital. |
| 摘 要： | ABBREVIATIONACS =acute coronary syndrome; AMI =acutemyocardial infarction; AHF=acute heart failure; RFF=renalfunction failure; OR=odds ratio; RR= relative risk; TnT=troponin T; TnI=troponin I (enzyme immunologic assay);CK=creatine kinase; PPV=positive predictive value of TnTfor AMI; NPV= negative predictive value.INTRODUCTIONPatients with ACS, especial with AMI, have ahigh mortality and high rate of cardiac events. Detectingthe high-risk patients quickly is the key for… |
| 关 键 词： | 床旁检测 肌钙蛋白 T试验 急性胸廓痛 |
The Role of Bedside Troponin T Test for Identification of High Risk Patients With Acute Chest Pain |
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| Guo XiaoBi;Feng JianZhang;Guo HengShan. The Role of Bedside Troponin T Test for Identification of High Risk Patients With Acute Chest Pain[J]. South China Journal of Cardiology, 2005, 6(2): 90-94,133 | |
| Authors: | Guo XiaoBi Feng JianZhang Guo HengShan |
| Abstract: | Objectives Evaluation of patients with acute chest pain when they admitted is time-consuming. We prospectively investigated the role of bedside troponin T test for predicting the risk of death and acute heart failure of patients with acute chest pain.Methods and Results 502 consecutive patients with chest pain for less than 24 hours were determined by troponin T test at bedside and quantitative troponin I test in lab. For bedside troponin T tests, there were 160 patients in positive and 323 in negative. During 30 days of followed-up. Myocardial infarction evolved in 139 patients among 160 patients in positive troponin T test, only 7 patients in negative one. Acute heart failure occurred in 51 patients among the positive group, but 37 occurred it at negative group. The odds ratio of acute heart failure of positive group vs. negative group was 3.6. Patients died 39 in positive group, 15 in negative group, the all-cause death odds ratio of positive group vs. negative group was 6.7; 31 patients died with cardiac event in positive group, 5 in negative group only. Conclusions Bedside Troponin T test is a powerful and independent predictor of death and acute heart failure for patients with acute chest pain. |
| Keywords: | Acute chest pain Bedside Troponin T Risk stratification Heart failure Diagnosis |
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