心肌梗死与心电ST段及心肌标记酶、高敏感肌钙蛋白检测的关系研究

Nadia Minkara, Nafez Haddad, Walid Kamali
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引用次数: 0

摘要

由于心脏缺血或其他原因引起的心肌梗死会导致心脏病发作和死亡。心电图(ECG)和简单的血液检查可以诊断心力衰竭的原因。心电图通过显示称为PQRST的波形复合体来记录心脏的电活动,该波形复合体代表每一次心跳中发生的极化、去极化和复极化过程的一系列电事件。PQRST复合物的ST段是心室复极的一个阶段,在心衰诊断中具有重要意义。在某些心脏疾病和/或心力衰竭的情况下,ST段可能高于或低于参考线。除了心电图记录外,一种名为肌钙蛋白的血液测试,它是由心肌以ng/I释放的,在心肌梗塞、心绞痛和/或冠状动脉缺血或其他相关疾病的反应中,在血流中升高。心电图记录和肌钙蛋白检测都可能确认或排除可能的心肌梗死的发生。肌钙蛋白检测灵敏度为59.46%,特异度为85.1%,提示有心肌梗死,其他提示有相关心脏问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of Myocardial Infarction Versus ECG ST Segment and Cardiac Marker Enzyme, High Sensitive Troponin Testing
Myocardial Infarction due to ischemic and other causes in someone's heart leads to heart attack and death. Electrocardiogram (ECG) and simple blood testing could diagnose the causes of heart failure. ECG records the electrical activities of the heart by showing waveform complexes called PQRST representing the electric serial events of polarization, depolarization and repolarization processes that take place in the heart per heartbeat. The ST segment of the PQRST complex is a phase of ventricular repolarization and that is of great importance in cardiac failure diagnosis. In cases of certain heart conditions and or failure, this ST segment may rise above or decline below a reference line. Besides ECG recording, a blood test of a protein called Troponin that is released in ng/I by the heart muscles becomes elevated in the blood stream in response to MI's, Pectoris angina, and/or coronary ischemia or other related medical conditions. Both ECG recording and Troponin testing would likely confirm or exclude the occurrence of possible MI's. Findings of Troponin testing with sensitivity of 59.46% and specificity of 85.1 % indicated of having myocardial infarction, while others indicated of having related cardiac troubles.
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