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肌钙蛋白检测对胸痛患者的分诊、预后及治疗的影响。

Impact of the measurement of troponin on the triage, prognosis, and treatment of patients with chest pain.

作者信息

Jesse R L

机构信息

Acute Cardiac Care, Virginia Commonwealth University, Medical College of Virginia and the McGuire Veterans Administration Hospital, Richmond 23284, USA.

出版信息

Clin Chim Acta. 1999 Jun 30;284(2):213-21. doi: 10.1016/s0009-8981(99)00082-0.

DOI:10.1016/s0009-8981(99)00082-0
PMID:10451247
Abstract

There are several issues driving the rapid advancement in diagnostic technology for acute cardiac syndromes. First is safety, primarily the need to improve sensitivity in lower-risk patients presenting with symptoms suggestive of ischemia; second is fiscal, especially to reduce the cost for the evaluation of low-risk chest pain patients; and third is therapeutic, including the ability to effectively risk-stratify patients who may be candidates for more aggressive therapy.

摘要

有几个因素推动着急性心脏综合征诊断技术的快速发展。首先是安全性,主要是需要提高对有缺血症状的低风险患者的检测敏感性;其次是财政方面,特别是要降低低风险胸痛患者的评估成本;第三是治疗方面,包括对可能适合更积极治疗的患者进行有效风险分层的能力。

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Clin Chim Acta. 1999 Jun 30;284(2):213-21. doi: 10.1016/s0009-8981(99)00082-0.
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引用本文的文献

1
"Chest pain-please admit": is there an alternative?. A rapid cardiological assessment service may prevent unnecessary admissions.“胸痛——请收治入院”:是否有其他选择?快速心脏评估服务或许能避免不必要的入院治疗。
BMJ. 2000 Apr 8;320(7240):951-2. doi: 10.1136/bmj.320.7240.951.