JAHA:冠脉搭桥术后6-12h的cTnT水平能预测患者预后

2018-02-28 MedSci MedSci原创

心肌肌钙蛋白T(cTnT)水平会在冠脉搭桥术后常规检测。本研究的目的旨在评估cTnT水平与冠脉搭桥术后6-12小时预后的关系。本研究纳入了1722名接受孤立性冠脉搭桥术的患者,评估了749名患者的传统cTnT水平和973名患者的高敏cTnT(hs-cTnT)水平与术后6-12小时主要心脑血管不良事件(MACCE)的发生的相关性。在传统cTnT评估组,有92名(12%)患者出现了MACCE,在hs-

心肌肌钙蛋白T(cTnT)水平会在冠脉搭桥术后常规检测。本研究的目的旨在评估cTnT水平与冠脉搭桥术后6-12小时预后的关系。本研究纳入了1722名接受孤立性冠脉搭桥术的患者,评估了749名患者的传统cTnT水平和973名患者的高敏cTnT(hs-cTnT)水平与术后6-12小时主要心脑血管不良事件(MACCE)的发生的相关性。在传统cTnT评估组,有92名(12%)患者出现了MACCE,在hs-cTnT评估组,有114名(12%)患者出现了MACCE。与cTnT ≤200 ng/L的患者相比,cTnT每增加200 ng/L,患者的MACCE的发生率更高,传统cTnT和hs-cTnT均能较好地区分出MACCE患者。以800 ng/L作为分界点,传统cTnT和hs-cTnT能为临床MACCE提供有效的支持力。研究结果显示,冠脉搭桥术后6-12h的心肌肌钙蛋白T水平可以提示患者的主要心脑血管不良事件发生的风险。原始出处:Brigitta G et al.Prognostic Value of Early Postoperative Troponin T in Patients Underg

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    2018-03-02 zhaohui6731
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    2018-03-02 zzc2214
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    2018-03-02 yese
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    2018-02-28 祝您健康

    学习学习

    0

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