肌钙蛋白T(TNT)在不稳定型心绞痛患者中的临床意义

(整期优先)网络出版时间:2004-04-14
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AbstractObjectiveToinvestigateahighlysensitiveandspecificbloodmarker,itcanearlierexamineanddiagnoseapatientwithunstableangina.Methods200patientswithunstableanginawerepidedintotwogroups,onegrouphadnoanginabefore24hoursandsecondgrouphadanginabefore24hours.RespectivelytookitsbloodintobemeasuredtheTNTorCK-MBlevels,studyingitspostiverate,specificityandsensitivity.ResultsTNTpositiverate:84.5%,Specificity:84.5%,Sensitivity:100%;CK-MBpositiverate:34.6%,Specificity:34.6%,Sensitivity:60.1%.ConclusionsTNTappearedtohaveahighpredictivevaluethatMIoccurred,itssenfitivityis100%.TNT-negativevalueindicatesverylittleriskofMIoccurrence;TNTisthehighlysensitiveandspecificbloodmarkerasmyocardialcellwasinjured.Itcaneralyforeseethatthepatient'stinythrombusisformed.Itisthemarkerwhichexcludespatients'myocardialinfarction.