急性缺血性卒中后高敏肌钙蛋白测定的临床价值  

Clinical value of high-sensitivity cardiac troponin assays after acute ischemic stroke

作　　者：曹益瑞 吴波[1] 

机构地区：[1]四川大学华西医院神经内科,成都610041 [2]四川省成都市温江区人民医院重症医学科,邮政编码611130

出　　处：《中国现代神经疾病杂志》2016年第11期803-807,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家自然科学基金资助项目(项目编号:81371283);国家自然科学基金资助项目(项目编号:81671146)~~

摘　　要：急性缺血性卒中易并发各种心血管事件,心肌缺血症状与体征、心电图、超声心动图、心肌损伤生物学标志物等的重要性已逐渐为临床医师所接受。传统肌钙蛋白检测以其极高的特异性成为心肌损伤的生物学标志物,然而随着高敏肌钙蛋白的广泛应用,肌钙蛋白已不再专属于某一种疾病,而是赋予更多的诊断意义。本文拟对缺血性卒中后血清高敏肌钙蛋白表达变化的临床意义予以阐述。In view of a variety of cardiovascular events complicated by acute ischemic stroke, the importance of monitoring myocardial ischemic symptoms and signs, electrocardiogram, echoeardiogram and myocardial injury markers has been gradually recognized by clinicians. Cardiac troponin （cTn） by conventional assay has been a unique marker of myocardial injury for its extremely high specificity. However, with the utilization of high-sensitivity cardiac troponin （hs-cTn）, cTn is no longer exclusive of a disease, but was given more significance in the diagnosis and application value. Therefore, we described the clinical significance of alterations of serum hs-cTn concentration after ischemic stroke.

关 键 词：卒中 脑缺血 肌钙蛋白 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]