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血清肌钙蛋白I水平对急性冠脉综合征病人预后的影响
引用本文:巩怀征,刘霞,姜硕珍. 血清肌钙蛋白I水平对急性冠脉综合征病人预后的影响[J]. 中西医结合心脑血管病杂志, 2006, 0(10)
作者姓名:巩怀征  刘霞  姜硕珍
作者单位:山东省莒县人民医院,山东省莒县人民医院,山东省莒县人民医院
摘    要:目的探讨血清肌钙蛋白I(cTnI)水平与急性冠脉综合征(ACS)病人预后的相关性。方法选择ACS病人76例,入院后立即抽取肘静脉血测定血清cTnI水平,并观察病人住院期间和随访30d主要心血管事件的发生情况。结果76例ACS病人中,血清cTnI值增高(≥0.16ng/mL)者32例,在30d随访中cTnI增高组发生主要心血管事件明显高于cTnI正常组(P<0.05)。结论血清cTnI值增高是ACS病人预后预测因素,并且是ACS病人主要心血管事件发生的独立预测因子。

关 键 词:肌钙蛋白I  急性冠状动脉综合征  心血管事件

The Clinical Significance of Serum Troponin I on Prognosis in Patients with Acute Coronary Syndrome
Gong Huaizheng,Liu Xia,Jiang Shuozhen. The Clinical Significance of Serum Troponin I on Prognosis in Patients with Acute Coronary Syndrome[J]. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 2006, 0(10)
Authors:Gong Huaizheng  Liu Xia  Jiang Shuozhen
Affiliation:Juxian 276500
Abstract:Objective To evaluate the value of serum troponin I (cTn I) on prognosis in patients with acute coronary syndrome (ACS).Methods Among 76 consecutive patients (pts), 26 pts were with unstable angina,31 pts with non-ST elevation myocardial infarction,19 pts with ST-elevation myocardial infarction.The blood samples were tested immediately after admission, kinetics of cTn I were analyzed.Results The cTn I levels were elevated in 32 pts. The major cardiovascular events in 32 pts during the follow-up were significantly higher than that in the group with normal cTn I(P<0.05). Conclusion During follow-up period, previous myocardial infarction history and the level of serum of cTn I were independent predictive factors for major cardiovascular events in pts with ACS.
Keywords:cTn I  acute coronary syndrome  cardiovascular events
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