HEART评分联合D-二聚体及超敏肌钙蛋白T对急诊胸痛患者的预测价值  

Predictive value of cardiac score combined with hypersensitive troponin T and D-dimer in emergency chest pain

作　　者：李巍巍[1] 刘淑珍[1] 千娜娜 任娜娜 LI Wei-wei;LIU Shu-zhen;QIAN Na-na;REN Na-na(Department of Emergency,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Radiology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Radiology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院急诊科,郑州450000 [2]郑州大学第二附属医院放射科,郑州450000 [3]郑州大学第三附属医院放射科,郑州450000

出　　处：《医药论坛杂志》2025年第3期275-278,283,共5页Journal of Medical Forum

摘　　要：目的探讨急诊胸痛中心脏评分法(HEART)联合超敏肌钙蛋白T(high sensitive cardiac troponin T,hs-TnT)和D-二聚体(D-dimer,D-D)的预测价值。方法回顾性病例对照研究,选取2021年6月至2022年7月郑州大学第二附属医院收治的急诊胸痛患者86例,根据患者30 d内是否发生不良心血管事件进行分组,比较两组基本资料、HEART评分、D-二聚体及超敏肌钙蛋白T水平,绘制ROC曲线,分析急诊胸痛中HEART联合hs-TnT和D-D的预测价值。结果86例急诊胸痛患者30 d内发生不良心血管事件28例,发生组HEART评分、D-二聚体及超敏肌钙蛋白T水平均高于未发生组,差异有统计学意义(P<0.05);急诊胸痛中HEART联合hs-TnT和D-D的预测灵敏度为80.50%,特异度为88.40%。结论HEART评分、超敏肌钙蛋白T和D-二聚体三者联合应用能够有效提高胸痛患者早期诊断和发病30天内不良心血管事件发生的预测价值。Objective To explore predictive value of cardiac score(HEART)combined with hypersensitive troponin T(hs-TnT)and D-dimer(D-Dimer)in emergency chest pain.Methods Retrospective case-control study,a retrospective analysis was conducted on the clinical data of 86 emergency chest pain patients admitted to our hospital from January 2022 to December 2023.Patients were divided into two groups based on whether adverse cardiovascular events occurred within 30 days.Basic data,HEART score,D-dimer and hypersensitive troponin T levels were compared between the two groups.ROC curves were plotted to analyze the predictive value of HEART score combined with D-dimer and hypersensitive troponin T for adverse cardiovascular events in emergency chest pain patients.Results Among 86 emergency chest pain patients,28 cases experienced adverse cardiovascular events within 30 days.The HEART score,D-dimer,and hypersensitive troponin T levels in the occurrence group were higher than those in the non occurrence group on average,and the difference was statistically significant(P<0.05);the sensitivity and specificity of HEART score combined with D dimer and hypersensitive troponin T in predicting adverse cardiovascular events in emergency chest pain patients were 80.50%and 88.40%,respectively.Conclusion The combination of HEART score,high-sensitivity troponin T and D-dimer can effectively improve the early diagnosis and the predictive value of adverse cardiovascular events within 30 days of onset in patients with chest pain.

关 键 词：急诊胸痛 不良心血管事件 HEART评分 D-二聚体 超敏肌钙蛋白T 预测 

分 类 号：R561[医药卫生—呼吸系统]