摘要
Abstract
Objective:To explore the influences of high sensitivity cardiac troponin T(hs-cTnT) and heart type fatty acid binding protein(H-FABP) in prognosis of patients with acute pulmonary embolism(APE).Method:62 cases with APE were recruited in our hospital from May 2011 to May 2013. Hs-cTnT,H-FABP,cTnI,creatinine,NT-proBNP and blood routine were tested at the time of hospitalization.Patients were followed-up for one year.Then the major adverse cardiac events(MACE) were recorded.Using Logistic regression analysis to assess the related factors for all-cause mortality.Result:During the hospitalization and follow-up,the incidences of MACE were higher in H-FABP and hs-cTnT groups than that in other groups.Multivariate Logistic regression analysis showed that cardiac shock,hs-cTnT acuity,H-FABP acuity were associated with all-cause mortality(P<0.01).The sensitivity was higher than the NT-proBNP and cTnI.While age,thrombolysis or non-thrombolysis had nothing to do with patients dead(P>0.05).Conclusion:There are high incidences of MACE in patients with higher levels H-FABP and hs–cTnT.Also the long-term prognosis is poor.关键词
高敏肌钙蛋白/心型脂肪酸结合蛋白/急性肺栓塞/预后Key words
High sensitivity cardiac troponin T/Heart type fatty acid binding protein/Acute pulmonary embolism/The prognosis分类
医药卫生
