检验医学与临床2019，Vol.16Issue(3)：295-298,4.DOI:10.3969/j.issn.1672-9455.2019.03.003
非急性心肌梗死患者高敏心肌肌钙蛋白T升高的病因研究
Study on etiology of high-sensitivity myocardial troponin T increase in patients with non-acute myocardial infarction
摘要
Abstract
Objective To analyze the causes of high-sensitivity cardiac troponin T (hs-cTnT) increase in the inpatients with non-acute myocardial infarction (non-AMI) .Methods A total of 8 743 inpatients with chest pain and hs-cTnT>100 ng/L in West China Hospital from January 2017 to December 2017 served as the study subjects.The clinical data and laboratory data were collected, the proportion of various causes and hscTnT levels were calculated, and the causes of hs-cTnT increase were analyzed.Results The causes of hs-cTnT level increase in hospitalized patients included acute myocardial infarction (AMI, 2 448 cases, 28.0％) and non-AMI (6 295 cases, 72.0％) .Among them, the non-AMI causes included coronary heart disease (1 748 cases, 20.0％) , organic heart disease (437 cases, 5.0％) , renal function insufficiency (786 cases, 9.0％) , stroke (699 cases, 8.0％) , infection (786 cases, 9.0％) , acute exacerbations of chronic obstructive pulmonary disease (AECOPD, 262 cases, 3.0％) , heart failure (524 cases, 6.0％) , cardiomyopathy (262 cases, 3.0％) , diabetic complications (349 cases, 4.0％) , postoperation (107 cases, 1.2％) , severe trauma (67 cases, 0.8％) , aortic dissection (77 cases, 0.9％) , and others (184 cases, 2.1％) .Conclusion hs-cTnT is a marker of myocardial cell injury and its level is increased in multiple non-AMI.In the clinical work, its specific causes should be analyzed, thus the targeted treatment is adopted.关键词
高敏心肌肌钙蛋白T/非急性心肌梗死/病因Key words
high-sensitivity cardiac troponin T/non-acute myocardial infarction/etiology分类
医药卫生引用本文复制引用
李小玲,干伟,罗薇,丁霏,贺勇,张玫,聂鑫,李贵星..非急性心肌梗死患者高敏心肌肌钙蛋白T升高的病因研究[J].检验医学与临床,2019,16(3):295-298,4.基金项目
四川省科技支撑项目(2016SC0044). （2016SC0044）
