急诊部即时高灵敏度肌钙蛋白在esc型途径中用于评估可能的急性心肌梗死

IF 1.4 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-10-01 DOI:10.1111/1742-6723.70147

Logan Fann, Laura R Joyce, John W Pickering, Andrew Munro, Nick Fisher, Martin Than

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引用次数: 0

摘要

这项前瞻性观察性研究旨在评估即时护理（POC）高灵敏度肌钙蛋白（hs-cTn）在ED胸痛途径中的诊断效用。患者在到达时进行了实验室hs-cTnT和POC hs-cTnI配对。临床护理采用hs-cTnT结果。比较hs-cTnT和POC hs-cTnI对风险等级的分配。AMI被判定对POC结果不知情。184例患者中，14例（7.6%）发生AMI。hs-cTnT排除AMI 21例（11.4%），POC排除AMI 59例（32.1%），敏感性均为100%。17例（8.5%）患者的POC检测结果无效。临床途径中的POC hs-cTnI检测可以有效地对AMI进行风险分层。

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Point-of-Care High-Sensitivity Troponin Use in an ESC-Type Pathway for Assessment of Possible Acute Myocardial Infarction in the Emergency Department.

This prospective observational study aimed to assess the diagnostic utility of point-of-care (POC) high-sensitivity troponin (hs-cTn) within an ED chest pain pathway. Patients had paired laboratory hs-cTnT and POC hs-cTnI on arrival. Clinical care utilised the hs-cTnT result. Allocation to risk classes was compared between hs-cTnT and POC hs-cTnI. AMI was adjudicated blinded to the POC result. Of 184 patients, 14 (7.6%) had AMI. Twenty-one (11.4%) had AMI ruled out by hs-cTnT and 59 (32.1%) by POC, both with 100% sensitivity. The POC test returned invalid results in 17 patients (8.5%). A POC hs-cTnI assay within a clinical pathway may effectively risk stratify for AMI.

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.