Prognostic evaluation of cardiac markers in early diagnosis of cardiac dysfunction in sepsis
10.3969/j.issn.1006-5725.2017.10.027
- VernacularTitle:脓毒症早期采用心肌标志物诊断心功能障碍的预后评估
- Author:
Yukang SONG
;
Yewuzi LI
;
Miaoshu WANG
- Keywords:
Sepsis;
Septic heart dysfunction;
Septic shock;
Serum troponin Ⅰ
- From:
The Journal of Practical Medicine
2017;33(10):1631-1633
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application value of myocardial markers combined with BNP in the early diagnosis of cardiac dysfunction in patients with sepsis. Methods diagnosed patients 66 cases as the research object of this paper,on the basis of 3~5 days in 66 patients with left ventricular ejection fraction after admission of LVEF > 50% and LVEF < 50% were divided into two groups ,two groups were monitored for 0 days ,3 days , 5 days,12 days LVEF,BNP and TNI. Results the left ventricular ejection fraction LVEF>50%and LVEF<50%two groups:3,5 days when the BNP value was significantly higher than that of non cardiac injury heart injury;cardiac injury group EF was negatively correlated with TNI value ,value and blood 3~5 days EF troponin levels in patients admitted to hospital after the show was negatively correlated;the concentration of EF and patients admitted to the hospital after twelfth days of blood troponin value is displayed as a negative correlation. TNI can directly reflect the cardiac function of patients. Research shows that the BNP value had a significant positive correlation in fifth days and APACHE Ⅱ score. Conclusion the data show that TNI and BNP can directly reflect the sepsis patients with heart dysfunction ,that BNP combined with TNI can effectively evaluate the clinical treatment of severe sepsis and septic shock patients ,prognosis has high significance.
