Abstract：Objective To investigate the early diagnostic value of high-sensitive troponin T(hs-TnT)combined with fragmented QRScomplex in acute myocardial infarction(AMI).Methods A total of 102 cases of AMI(AMI group)admitted to our department of cardiology and 78 cases of healthy examinees(control group)were selected from October 2017 to October 2018 in our hospital.The serum hs-TnT level and the incidence of fragmented QRScomplex were compared between the two groups,as well as between ST-segment elevation myocardial infarction patients(STEMI group,n=69)and non-ST-segment elevation myocardial infarction patients(NSTEMI group,n=33).Then the diagnostic efficacy of single detection and combined detection of serum hs-TnT level and fragmented QRScomplex in the diagnosis of the AMI were compared.Results The level of serum hs-TnT in AMI group was higher than that in control group(P＜0.05).The level of serum hs-TnT in STEMI group was higher than that in NSTEMI group in AMI group (P＜0.05).The incidence of fragmented QRScomplex in the AMI group was higher than that of the control group(P＜0.05).The incidence of the fragmented QRScomplex of STEMI group in the AMI group was higher than that of the NSTEMI group(P＜0.05).The diagnostic efficiency of hs-TnT combined with ECG fragmented QRS complex was better than that of hs-TnT and ECG fragmented QRScomplex alone(P＜0.05).Conclusion For the early diagnosis of acute myocardial infarction,the combined detection of hs-TnT and electrocardiogram fragmentation QRS wave has higher sensitivity and accuracy than that of single detection,and can provide valuable reference information for clinical diagnosis and treatment of AMI.
孟金凤 雷金花 金瑞冕 陈富明. 高敏肌钙蛋白T联合心电图碎裂QRS波对急性心肌梗死的早期诊断价值[J]. 中国当代医药, 2020, 27(24): 83-86.
MENG Jin-feng LEI Jin-hua JIN Rui-mian CHEN Fu-ming. Early diagnostic value of high-sensitive troponin T combined with fragmented QRScomplex in acute myocardial infarction. 中国当代医药, 2020, 27(24): 83-86.
Maida C，Antonino T，Raimondo DD，et al.Management of blood pressure and heart rate in patients with acute stroke[J].Curr Pharm Design，2017，23（31）：4583-4597.
[10]
Trimboli F，Lucia F，Angotti E，et al.An approach based on simulated hemolysis for establishing the hemolysis index threshold for high-sensitivity cardiac troponin T assay[J].Clin Chem Lab Med，2019，57（12）：e314-e317.
[11]
Guette P，Launey Y，Arnouat M，et al.Prognostic value of high-sensitivitytroponin Tinaneurysmal subarachnoid hemorrhage：a prospective observational study[J].Brain Injury，2019，33（10）：1372-1378.
[12]
Ozeke O，Cay S，Ozcan F，et al.The fragmented QRS and epsilon wave in arrhythmogenic right ventricular dysplasia：does before-and-after the end of the QRScomplex matter?[J].Pacing Clin Electrophysiol，2018，41（9）：1269-1270.
[13]
Sadeghi MM，Hashemi M，Rabbani M，et al.Which technique is suitable for management of acute myocardial infarction following coronary artery bypass surgery，rescue percutaneous coronary intervention or open heart surgery?A case-series study[J].Acta Biomed，2014，85（3）：277-280.
京公网安备 11010502046607号