冠状动脉介入术后6小时内肌钙蛋白T和术后早期临床事件的关系Relationship between early clinical events and value of cardiac troponin T within 6 hours after percutaneous coronary intervention
张大东,卢寿山,蔡煦,沈卫峰
摘要(Abstract)：
目的 分析介入术后 6小时内肌钙蛋白T(cTnT)与术后早期临床事件的关系。方法 术前和术后 6h内测定 115例行冠状动脉介入治疗患者的cTnT值 ,分析术后 6h内不同cTnT值与早期不良临床事件 (心绞痛复发、症状性低血压和二次介入治疗 )发生的关系。结果 术后 6h内cTnT>0 1ng ml检出率高于CK MB(2 0 9%vs 9 6 % ,P =0 0 17) ,患者术后早期心绞痛复发率增高 ;当cTnT为 0 0 1～ 0 1ng ml时 ,患者术后早期症状性低血压的发生率明显增高。Logistic回归分析表明 ,术后 6h内cTnT >0 0 1ng ml增加了早期不良临床事件发生危险性 (OR =7 8,P =0 0 0 0 2 )。结论 冠状动脉介入术后cTnT增高 (>0 1ng ml)及微量cTnT(0 0 1～ 0 1ng ml)与术后早期不良临床事件发生的危险性增高可能密切相关。
关键词(KeyWords)： 血管成形术,经腔,经皮冠状动脉;冠状动脉造影;肌钙蛋白T
基金项目(Foundation):
作者(Author): 张大东,卢寿山,蔡煦,沈卫峰
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