心肌肌钙蛋白T监测对老年急性心肌梗塞范围的预测价值  

Correlation between troponin T release and estimation of myocardial infarct size in eldly acute myocardial infarction

作　　者：连芳[1] 魏俊飞[1] 汪涛[2] 吴宗贵[3] 

机构地区：[1]河南第一荣康医院,河南新乡453003 [2]济南军区青岛第一疗养院 [3]上海第二军医大学长征医院

出　　处：《中国民康医学》2003年第5期276-277,共2页Medical Journal of Chinese People’s Health

摘　　要：目的 :探讨心肌肌钙蛋白T(cTnT)与急性心肌梗塞范围的关系。方法 :研究了 33例老年急性心肌梗塞 (AMI)患者的cTnT与心电图QRS记分测定心肌梗塞范围的相关性。结果 :2 4小时内的cTnT峰值与心肌梗塞范围无相关性 (r=0 .33,P >0 .0 5 ) ;2 4小时后cTnT峰值与心肌梗塞范围呈正相关性 (r =0 .87,P <0 .0 1)。结论 :老年AMI后cTnT的后期释放峰值是判断心肌梗塞范围的良好参数。Objective:To study the correlation between cardial troponin T(cTnT)levels and myocardial infarct size.Methods:The serum levels of cTnT was tested,myocardial infarct size was assessed by QRS scoring of electrocardiography in 33 patients with acute myocardial infarction(MAI).Results:The peak cTnT value within 24 hours of AMI not correlated with the myocardial infarct size,but a good correlation was found between the peak cTnT value 24 hours after AMI and myocardial infarct size(r=0.87, P <0.01),Conclusion:The study indicated the peak cTnT value 24 hours after AMI is a useful marker to assess myocardial infarct size.

关 键 词：心肌肌钙蛋白T 监测 老年人 急性心肌梗塞范围 预测 心电图 相关性 QRS记分 

分 类 号：R542.22[医药卫生—心血管疾病]