Division of Cardiology, Department of Medicine and the Duke Clinical Research Institute, Duke University Medical Center, P.O. Box 17969, Durham, NC 27715, USA.
Nat Rev Cardiol. 2015 Nov;12(11):625-6. doi: 10.1038/nrcardio.2015.157. Epub 2015 Oct 6.
Among patients with diabetes mellitus and ischaemic heart disease, high-sensitivity testing effectively identified 39.3% of patients with elevated troponin levels who were at high 5-year risk of cardiovascular death, myocardial infarction, or stroke. Compared with optimal medical therapy, revascularization did not reduce ischaemic events among patients with elevated troponin levels.
在患有糖尿病和缺血性心脏病的患者中，高敏检测有效地确定了 39.3%的肌钙蛋白水平升高且 5 年心血管死亡、心肌梗死或中风风险较高的患者。与最佳药物治疗相比，血管重建并不能降低肌钙蛋白水平升高患者的缺血事件。
