解放军医学杂志2024，Vol.49Issue(3)：329-334,6.DOI:10.11855/j.issn.0577-7402.2392.2023.1007
超敏肌钙蛋白在慢性肾脏病合并急性心肌梗死中的作用研究进展
Research progress of high-sensitivity troponin in chronic kidney disease with acute myocardial infarction
摘要
Abstract
The progress and clinical application of troponin detection technology have continuously improved the diagnosis rate of acute myocardial infarction(AMI),which effectively shortens the time of necrotic myocardial reperfusion.Earlier studies have found that high-sensitivity troponin(hs-cTn)is elevated to varying degrees in patients with chronic kidney disease(CKD).Therefore,when patients with CKD have AMI,the application of hs-cTn is limited to a certain extent,and with the lack of chest pain symptoms and the non-specificity of electrocardiogram performance in patients with CKD,it is particularly difficult to make a quick and accurate diagnosis of such patients.Based on this,this article will summarize the application of hs-cTn in AMI,the clinical characteristics of patients with CKD combined with AMI,how to improve the diagnostic accuracy of patients with CKD combined with AMI,and the value of hs-cTn in risk stratification and prognosis assessment of such patients to provide clinical medical staff with reference for early intervention or revascularization of patients.关键词
超敏肌钙蛋白/急性心肌梗死/慢性肾脏疾病Key words
high-sensitivity troponin/acute myocardial infarction/chronic kidney disease分类
医药卫生引用本文复制引用
马玉娇,谢萍,汪蒙,王茸..超敏肌钙蛋白在慢性肾脏病合并急性心肌梗死中的作用研究进展[J].解放军医学杂志,2024,49(3):329-334,6.基金项目
This work was supported by the National Natural Science Foundation of China(81860047) 国家自然科学基金(81860047) （81860047）
