首页|急性冠状动脉综合征治疗前后生物标志物变化及临床意义

急性冠状动脉综合征治疗前后生物标志物变化及临床意义

Serum Biomarker Changes After Treatment of Acute Coronary Syndrome and Its Clinical Significance

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目的:探讨急性冠状动脉综合征患者治疗前后血清生物标志物变化及临床意义.方法:选择急性冠脉综合征(ACS)患者135例,其中 ST段抬高型急性心肌梗死(STEAMI)71例及非ST段抬高型急性心肌梗死(NSTEAMI) 34例;不稳定心绞痛(UAP)30例、同期冠状动脉造影(CAG)阴性患者30例作为对照组.所有对象均检测治疗前后NT-proBNP、hs-cTnT浓度并进行分析.结果:ACS组血清NT-proBNP、hs-cTnT水平均较对照组高,差异有统计学意义(P<0.05).NSTEAMI组NT-proBNP水平高于STEAMI组和UAP组(P<0.05),hs-cTnT水平在ACS组间比较差异有统计学意义(P<0.05),治疗24 h后,STEAMI组两个标志物均较治疗前明显升高(P<0.05),NSTEAMI组和UAP组两个标志物与治疗前比较差异没有统计学意义(P>0.05).治疗96 h后,各组两个标志物均较治疗前明显降低(P<0.05).NT-proBNP与hs-cTnT呈正相关性(r=0.625,P<0.05).结论:ACS患者治疗前后血清生物标志物动态监测,对ACS疗效观察和预后判断具有积极的临床意义.
Objective To investigate serum biomarker changes both before and after treatment of acute coronary syndrome (ACS)patients and its clinical significance. Methods Serum concentrations of two biomarkers (NT-proBNP, hs-cTnT) were detected in 135 patients with ACS, in which the ST segment elevation acute myocardial infarction ( STEAM) were 71 cases and non ST segment elevation acute myocardial infarction (NSTEAMI) were 34 cases; unstable angina pectoris (UAP) were 30 cases, 30 patients with negative coronary artery angiography ( CAG) were established as the control group. All subjects were tested NT-proBNP, hs-cTnT concentrations before and after the treatment of ACS. Results ACS group serum NT-proBNP, hs-cTnT levels were higher than the control group, the difference was statistically significant (P<0.05). NSTEAMI Group NT-proBNP levels superior than those in STEA-M group and UAP group (P<0.05) , hs-cTnT levels in ACS group had a significant difference (P<0.05) , the two biomarkers increased markedly within 24 h in patients with STEAMI, whereas no changes in the two biomarkers were noted in patients with NSTEAMI and UAP, in all group, the two biomarkers decreased obviously 96 h after successful reperfuaion. NT-proBNP displayed a strong correlation with hs-cTnT (r = 0.625, P < 0. 05 ). Conclusion Dynamic monitoring serum biomarkers changes after treatment of ACS, has a positive clinical significance for clinical observation and prognosis.

acute coronary syndrome( ACS)N terminal pro-brain natriuretic peptide( NT-proBNP)high sensitive cardiac tro-ponin T(hs-cTnT)

吴寿军

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浙江省浦江县人民医院检验科,322200

急性冠状动脉综合征 N端脑钠肽前体 超敏心肌肌钙蛋白T

2013

放射免疫学杂志
同济大学

放射免疫学杂志

CSTPCD
影响因子:0.508
ISSN:1008-9810
年,卷(期):2013.26(1)
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