Plitt Anna, Dangas George
Department of Cardiology, Mount Sinai Heart, New York, New York.
Catheter Cardiovasc Interv. 2018 Feb 1;91(2):224-225. doi: 10.1002/ccd.27502.
CK-MB elevation post-PCI correlates with procedural complications, diffuse atherosclerosis, and adverse long-term prognosis. Troponin elevation has an earlier pattern of rise than CK-MB and can be used as a surrogate. High sensitivity troponin can enable ruling out enzymatic elevation very early after PCI and facilitate discharge timing.
经皮冠状动脉介入治疗(PCI)后肌酸激酶同工酶(CK-MB)升高与手术并发症、弥漫性动脉粥样硬化及不良长期预后相关。肌钙蛋白升高的模式比CK-MB出现得更早,可作为替代指标。高敏肌钙蛋白能够在PCI术后很早排除酶升高情况,并有助于确定出院时间。