术后高敏肌钙蛋白 T 可预测心脏手术患者发生心搏骤停。
Postoperative high-sensitivity troponin T as a predictor of sudden cardiac arrest in patients undergoing cardiac surgery.
机构信息
Department of Acquired Cardiac Defects, Institute of Cardiology, Alpejska 42, Warsaw, Poland.
出版信息
Cardiol J. 2019;26(6):777-781. doi: 10.5603/CJ.a2019.0005. Epub 2019 Jan 31.
BACKGROUND
The usefulness of high-sensitivity troponin T (hs-TnT) as a predictor of sudden cardiac arrest (SCA) in patients undergoing valve surgery is currently unknown.
METHODS
A prospective study was conducted on a group of 815 consecutive patients with significant valvular heart disease that underwent elective valve surgery. The primary end-point was postoperative SCA.
RESULTS
The postoperative SCA occurred in 26 patients. At multivariate analysis of hs-TnT measured immediately after surgery (hs-TnT I) and age remained independent predictors of the primary end-point.
CONCLUSIONS
Elevated postoperative hs-TnT was associated with a higher risk of postoperative SCA.
背景
高敏肌钙蛋白 T（hs-TnT）作为预测接受瓣膜手术患者心搏骤停（SCA）的指标，其作用目前尚不清楚。
方法
对 815 例连续的、患有严重瓣膜性心脏病并接受择期瓣膜手术的患者进行前瞻性研究。主要终点为术后 SCA。
结果
26 例患者发生术后 SCA。术后 hs-TnT I（即刻测量的术后 hs-TnT）和年龄是主要终点的独立预测因素。
结论
术后 hs-TnT 升高与术后 SCA 风险增加相关。
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