Research progress of high-sensitivity troponin in chronic kidney disease with acute myocardial infarction
10.11855/j.issn.0577-7402.2392.2023.1007
- VernacularTitle:超敏肌钙蛋白在慢性肾脏病合并急性心肌梗死中的作用研究进展
- Author:
Yu-Jiao MA
1
;
Ping XIE
;
Meng WANG
;
Rong WANG
Author Information
1. 兰州大学第一临床医学院,甘肃兰州 730000
- Keywords:
high-sensitivity troponin;
acute myocardial infarction;
chronic kidney disease
- From:
Medical Journal of Chinese People's Liberation Army
2024;49(3):329-334
- CountryChina
- Language:Chinese
-
Abstract:
The progress and clinical application of troponin detection technology have continuously improved the diagnosis rate of acute myocardial infarction(AMI),which effectively shortens the time of necrotic myocardial reperfusion.Earlier studies have found that high-sensitivity troponin(hs-cTn)is elevated to varying degrees in patients with chronic kidney disease(CKD).Therefore,when patients with CKD have AMI,the application of hs-cTn is limited to a certain extent,and with the lack of chest pain symptoms and the non-specificity of electrocardiogram performance in patients with CKD,it is particularly difficult to make a quick and accurate diagnosis of such patients.Based on this,this article will summarize the application of hs-cTn in AMI,the clinical characteristics of patients with CKD combined with AMI,how to improve the diagnostic accuracy of patients with CKD combined with AMI,and the value of hs-cTn in risk stratification and prognosis assessment of such patients to provide clinical medical staff with reference for early intervention or revascularization of patients.
