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[生物标志物的院前即时检测对急性心肌梗死具有诊断价值]

[Prehospital point of care testing of biomarkers has diagnostic value in relation to acute myocardial infarction].

作者信息

Stengaard Carsten, Thorsted Sørensen Jacob, Terkelsen Christian Juhl

机构信息

Hjertemedicinsk Afdeling B, Aarhus Universitetshospital, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.

出版信息

Ugeskr Laeger. 2013 Jan 21;175(4):186-9.

Abstract

Prehospital point of care testing (POCT) of biomarkers may be a valuable tool for optimizing prehospital diagnosis. We report the status of prehospital POCT in relation to acute myocardial infarction (AMI). No randomized studies have been performed. Eight observational studies collectively show added diagnostic value of prehospital POCT in relation to AMI. The revised European NSTEMI guidelines focus on early risk assessment in relevant timing of reperfusion strategy. We anticipate that prehospital POCT will be central in NSTEMI care in the near future.

摘要

生物标志物的院前即时检验(POCT)可能是优化院前诊断的一项有价值的工具。我们报告了与急性心肌梗死(AMI)相关的院前POCT的现状。尚未进行随机研究。八项观察性研究共同表明,院前POCT对AMI具有额外的诊断价值。修订后的欧洲非ST段抬高型心肌梗死(NSTEMI)指南侧重于再灌注策略相关时机的早期风险评估。我们预计,院前POCT在不久的将来将在NSTEMI护理中发挥核心作用。

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