Cardio specific Troponin I in patients with Aortic stenosis

N. Nahar, B. Begum, Khaleque-uzzaman, S. Mashud, S. Parveen, R. Yeasmin
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Abstract

To evaluate the association of Cardio specific Troponin I (CTnI) and aortic stenosis. Cross sectional study was conducted among 20 aortic stenosis patients and 20 control groups. A structured questioner and checklist was used to collect data through face to face interview, Echocardiography findings, and laboratory estimation of cTnl. A total 20 patients and 20 healthy control subjects were investigated for cTnl. cTnl level was within normal physiological limits in all the control subjects. The mean value was 0.02±00. The mean cTnl level in Aortic stenosis patients were 0.67±0.81. EJection fraction of Aortic stenosis patients were normal, indicating that cases yet not develops complication (eg; Heart failure). The cTnl in control group and Aortic stenosis patients shows significant difference of mean (p < 0.001). cTnl level in Aortic stenosis patients increases in absence of heart failure indicating that it can expose cardiomyocyte injury prior to the development of over Left ventricular dysfunction. So that, serial monitoring of cTnl could help clinician to give definitive treatment before development of complications. Keywords: Cardiospecific Troporin I. Aortic Stenosis. doi: 10.3329/bjpath.v24i1.2875 Bangladesh J Pathol 24 (1) : 9-11
主动脉瓣狭窄患者的心肌特异性肌钙蛋白I
评价心肌特异性肌钙蛋白I (CTnI)与主动脉瓣狭窄的关系。对20例主动脉瓣狭窄患者和20例对照组进行横断面研究。采用结构化的提问者和检查表,通过面对面访谈、超声心动图结果和实验室估计cTnl来收集数据。共对20例患者和20例健康对照者进行cTnl检测。对照组cTnl水平均在正常生理范围内。平均值为0.02±00。主动脉瓣狭窄患者的平均cTnl水平为0.67±0.81。主动脉瓣狭窄患者射血分数正常,提示未发生并发症(如;心力衰竭)。对照组与主动脉瓣狭窄患者的cTnl均值差异有统计学意义(p < 0.001)。主动脉瓣狭窄患者的cTnl水平在无心力衰竭的情况下升高,表明它可以在左心室功能障碍发展之前暴露心肌细胞损伤。因此,对cTnl的连续监测可以帮助临床医生在并发症发生前给予明确的治疗。关键词:心脏特异性Troporin;主动脉瓣狭窄;doi: 10.3329/bjpath.v24i1.2875孟加拉国病理学杂志24 (1):9-11
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