Yang Zhen, Min Zhou Dao
College of Life Sciences, Shenzhen University, Shenzhen 518060, China.
Clin Biochem. 2006 Aug;39(8):771-80. doi: 10.1016/j.clinbiochem.2006.05.011. Epub 2006 Jun 7.
Acute myocardial infarction (AMI) is the world's leading cause of mortality and morbidity. Therefore, quick and reliable diagnostics of AMI is extremely critical. Compared to the traditionally used central laboratory tests (CLT), which can be time-consuming and expensive, point-of-care testing (POCT) for AMI-indicative cardiac markers provides a convenient means for rapid diagnostic assays to be performed at the site of patient care delivery. In this article, the etiology and diagnosis of AMI are introduced, and some typical cardiac markers and their clinical applications are reviewed. Furthermore, the various POC cardiac marker devices that are currently available, the benefits of using cardiac marker POC assays, and challenges that cardiac marker POCT are facing are also discussed.
急性心肌梗死(AMI)是全球死亡和发病的主要原因。因此,快速、可靠地诊断AMI极其关键。与传统使用的中央实验室检测(CLT)相比,CLT可能耗时且昂贵,用于检测指示AMI的心脏标志物的即时检测(POCT)为在患者护理现场进行快速诊断检测提供了一种便捷方法。本文介绍了AMI的病因和诊断,并综述了一些典型的心脏标志物及其临床应用。此外,还讨论了目前可用的各种POC心脏标志物检测设备、使用心脏标志物POC检测的益处以及心脏标志物POCT面临的挑战。