疑难病杂志Issue(6)：558-559,562,3.DOI:10.3969/j.issn.1671-6450.2014.06.004
cTnI 和 NT-proBNP 对老年急性心力衰竭患者预后的判断价值
The prognosis of patients with cTnI and NT-proBNP in elderly patients with acute heart failure
贺明轶 1秦俭 1李亚林1
作者信息
- 1. 100053 北京，首都医科大学宣武医院急诊科
- 折叠
摘要
Abstract
Objective To explore cardiac troponin I ( cTnI) and N-terminal pro brain natriuretic peptide ( NT-proB-NP) to determine the value for the prognosis in elderly patients with acute heart failure .Methods Analysis of the clinical da-ta of 60 cases of acute heart failure patients from 2012 March to 2013 August in the ICU treatment .According to the outcome of treatment, they were divided into survival group and death group .Compared general information , before and 24 h after the treatment cTnI and NT-proBNP level change of the 2 groups. And to explore the prognosis of elderly patients with acute heart fai-lure judgment value .Results Elderly patients with acute heart failure in 60 cases, in which the survival group had 34 ca-ses, 26 cases in death group .Survival group's cTnI and NT-proBNP levels were lower than the death group before treatment (P <0.01);survival group and death group patients after treatment , cTnI and NT-proBNP level were decreased , but the difference was not significant ( P >0.05); cTnI combined with NT-proBNP detection's ROC curve of prognostic value was 0.930, the sensitivity was 91.01%, specificity was 92.35%, obviously higher than that of cTnI ( 0.888, 80.23%, 83.02%) and NT-proBNP (0.732, 53.21%, 90.03% respectively).Conclusion The combination of cTnI and NT-proB-NP has important predictive value for the prognosis of elderly patients with acute heart failure .关键词
心力衰竭,急性/预后/肌钙蛋白I/N-末端脑钠肽前体/老年人Key words
Heart failure ,acute/Prognosis/Cardiac troponin I/N-terminal pro brain natriuretic peptide/Elderly引用本文复制引用
贺明轶,秦俭,李亚林..cTnI 和 NT-proBNP 对老年急性心力衰竭患者预后的判断价值[J].疑难病杂志,2014,(6):558-559,562,3.
