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Comparison of high-sensitivity C-reactive protein level between systemic and coronary circulation in patients with acute myocardial infarction
  • ISSN号:1672-9145
  • 期刊名称:《生物化学与生物物理学报:英文版》
  • 时间:0
  • 分类:S858.292[农业科学—临床兽医学;农业科学—兽医学;农业科学—畜牧兽医] Q510.3[生物学—生物化学]
  • 作者机构:[1]Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China, [2]Department of Geriatrics, the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China, [3]Department of Geriatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
  • 相关基金:This study was supported by the Health Bureau of Jiangsu Province (No. K201104), the Scientific Support Plan of Jiangsn Province (No. BE2011803), the National Natural Science Foundation of China (No. 81170102/H0203), the Priority Academic Program Development of Jiangsu Higher Education Institutions (No. BL2012011), the Fourth Period Project "333" of Jiangsu Province (No. BRA2012207), China.
中文摘要:

心脏的 troponin -- 我(cTnI ) 并且 -T (cTnT ) 是心肌的损害的敏感、特定的标记。然而,在经皮的冠的干预(一种总线标准) 的增加的 cTnI 和 cTnT 的角色联系了心肌的损害遗体争论。在这未来,单个中心并且双窗帘学习,我们试图在一张中国人口在一种总线标准相关的心肌的损害象 cTnT (cTns ) 一样决定 cTnI 的诊断、预示的价值。有稳定的心绞痛和 non-ST-segment 举起的 1,008 个病人的一个总数急性冠的症候群被招募。cTnI 和 cTnT 的层次在一种总线标准前后被检验。所有病人被跟随在上面为 26 ±;观察主要不利心脏的事件(权标) 的发生的 9 个月。我们的结果证明那一种总线标准以后的 cTnI 或 cTnT 层次被增加到多于 99 th 百分位数在 133 的上面的参考限制(URL )(13.2%) 病人,(2.2%) 22 在之中是超过 5 ×;99 th 百分位数 URL。由 univariate 分析,在在一种总线标准以后的 cTns 的举起不是增加的权标的一个独立预言者, HR 1.35 (P  ; = ;0.33, 95%CI:0.74-2.46 ) 。在结论,我们的数据证明一种总线标准相关的心肌的损害的发生不在一张中国人口是普通的,次要的提高的 cTns 层次不能是为权标的一个敏感预示的标记。

英文摘要:

Cardiac troponin-I (cTnI) and -T (cTnT) are sensitive and specific markers of myocardial injury. However, the role of increased cTnI and cTnT in percutaneous coronary intervention (PCI)-related myocardial injury remains controversial. In this prospective, single-center and double-blind study, we aimed to determine the diagnostic and prognostic value of cTnI as well as cTnT (cTns) in PCI-related myocardial injury in a Chinese population. A total of 1,008 patients with stable angina pectoris and non-ST-segment elevation acute coronary syndrome were recruited. The levels of cTnI and cTnT were examined before and after PCI. All patients were followed up for 26± 9 months to observe the incidence of major adverse cardiac events (MACEs). Our results showed that post- PCI cTnI and/or cTnT levels were increased to more than the 99^th percentile upper reference limit (URL) in 133 (13.2%) patients, among which 22 (2.2%) were more than 5 × 99^th percentile URL. By univariate analysis, an elevation in cTns after PCI was not an independent predictor of increased MACEs, HR 1.35 (P = 0.33, 95% CI: 0.74-2.46). In conclusion, our data demonstrate that the incidence of PCI-related myocardial injury is not common in a Chinese population and minor elevated cTns levels may not be a sensitive prognostic marker for MACEs.

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期刊信息
  • 《生物化学与生物物理学报:英文版》
  • 北大核心期刊(2004版)
  • 主管单位:
  • 主办单位:中国科学院上海生物化学研究所
  • 主编:
  • 地址:上海岳阳路319号
  • 邮编:200031
  • 邮箱:abbs@sibs.ac.cn
  • 电话:021-54920956 54920955
  • 国际标准刊号:ISSN:1672-9145
  • 国内统一刊号:ISSN:31-1940/Q
  • 邮发代号:4-210
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,荷兰文摘与引文数据库,美国生物医学检索系统,美国剑桥科学文摘,美国科学引文索引(扩展库),美国生物科学数据库,英国动物学记录,日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),英国英国皇家化学学会文摘,中国北大核心期刊(2000版)
  • 被引量:5851