肌钙蛋白T检验对不稳定型心绞痛预后的评价

cTnT testing for the evaluation of the prognosis of unstable angina

目的探讨肌钙蛋白T对不稳定型心绞痛预后的临床意义。方法收集笔者所在医院55例经确诊为不稳定型心绞痛的患者,进行肌钙蛋白T检测,观察并随访4周或至发生急性心脏事件为止。结果 55例患者中,cTnT检测阳性38例(A组),阴性17例(B组)。其中A组出现心脏事件10例,发生率为26.3%;B组3例,心脏事件发生率为17.1%。结论血清肌钙蛋白T检测对高危的不稳定心绞痛患者具有较高的敏感性,对其近期预后有预测价值。

Objective To Investigate the clinical significance of cTnT for unstable angina prognosis. Methods Collect 55 person in hospital with unslable anginapectoris.The patients were follow up for 4 weeks and the major adverse cardiocascular events were observed and recorded. Results In 55 patients,cTnT test positive for 38 cases（A group）,negative 17 cases （B group）. Cardiac events in group A is 10 cases （ 26.3% ）,for group B is 3 cases（17.1%）. Conclusion Detection of cardiac troponin T in patients with highriskunstable angina with high sensitivily,predictive value of its prognosis.