同济大学学报(医学版)2018,Vol.39Issue(1):94-97,4.DOI:10.16118/j.1008-0392.2018.01.018
经皮冠状动脉介入治疗后高敏肌钙蛋白T升高的相关因素分析
Risk factors of high-sensitive troponin T elevation in patients with coronary artery disease after percutaneous coronary intervention
摘要
Abstract
Objective To analyze the risk factors of high-sensitive troponin T(hs-TNT) elevation in patients with coronary artery disease after percutaneous coronary intervention (PCI).Methods One hundred and seven patients with angina pectoris were admitted and underwent PCI in our hospital from January 2016 to August 2016.There were 50 cases with elevated hs-TNT(>0.026 ng/mL) and 57 cases with normal hs-TNT(<0.013 ng/mL) after PCI.Clinical characteristic,laboratory finding,angiographic and procedural factors were analyzed and compared between two groups.Results There were more patients with older age,higher serum level of glucose,higher Gensini score,higher number of stenosed vessels,higher number of treated vessels,smaller diameter of stents,longer stent length,higher number of stent,higher sums in balloon dilatation druration,higher proportion of bifurcation lesion and diffuse lesion in elevated hs-TNT group than those in normal hs-TNT group (P<0.05).Logistic multivariate analysis showed that older age,higher serum glucose level and more implanted stents were independent risk factors for hs-TNT elevation (P<0.05) following PCI.Conclusion Age,serum level of glucose,number of stents may be associated with the elevation high-sensitive troponin T in patients with coronary heart disease after percutaneous coronary intervention.关键词
经皮冠状动脉介入治疗/高敏肌钙蛋白T/冠心病Key words
percutaneous coronary intervention/high-sensitive tropin T/coronary heart disease分类
医药卫生引用本文复制引用
胡铂,王小东,陈旼,罗裕,周华,张奇..经皮冠状动脉介入治疗后高敏肌钙蛋白T升高的相关因素分析[J].同济大学学报(医学版),2018,39(1):94-97,4.基金项目
上海市浦东新区卫生系统重点学科群建设资助项目(PWZxq2017-05) (PWZxq2017-05)