Values of D-dimer,cTnT and myocardial enzymogram detections in the diagnosis of acute myocardial infarction
10.3969/j.issn.1673-4130.2015.10.003
- VernacularTitle:D-二聚体、cT nT 及心肌酶谱检测在急性心肌梗死诊断中的价值
- Author:
Jianfeng HUANG
;
Xiaofeng ZHANG
;
Peiji CHEN
- Publication Type:Journal Article
- Keywords:
cardiac troponin T;
myocardial enzymogram;
D-dimer;
acute myocardial infarction
- From:
International Journal of Laboratory Medicine
2015;(10):1325-1326,1329
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of D‐dimer (D‐D) ,cardiac troponin T(cTnT) and myocardial enzymogram detec‐tions in clinical diagnosis of acute myocardial infarction (AMI) .Methods 36 cases of AMI patients (AMI group) and 20 cases of healthy people (control group) were selected as study subjects .The plasma levels of D‐D ,cTnT and myocardial enzymogram of two groups were detected ,and the sensibility and specificity of these indexes were analyzed .Results The levels of D‐D ,cTnT ,CK ,CK‐MB ,AST and LDH in AMI group were significantly higher than those of control group (P<0 .05) .The positive rates of cTnT ,D‐D and myocardial enzymogram in AMI patients were 91 .67% ,69 .44% ,and 66 .67% ,respectively .The positive rate of cTnT was significantly higher than those of D‐D and myocardial enzymogram (P<0 .05) .Both of the diagnosis sensibility and specificity of plasma cTnT were significantly higher than those of D‐D and myocardial enzymogram (P<0 .05) .Conclusion Comparing with D‐D and myocardial enzymogram ,plasma cTnT has better diagnosis sensibility and specificity .Joint detection of kinds of indexes could improve the accuracy .
