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一小时高敏肌钙蛋白检测：急诊科安全有效的分诊工具

One-Hour High Sensitivity Troponin Testing: A Safe and Effective Triage Tool for the Emergency Department.

作者信息

Shabbir Asad, Fan Lampson, Fraser Gregory, Cassar Mark Philip, Swinburn Jon

机构信息

From the John Radcliffe Hospital, Oxford University Hospital NHS Foundation Trust, Oxford, United Kingdom.

Royal Berkshire NHS Foundation Trust, Reading, United Kingdom.

出版信息

Crit Pathw Cardiol. 2019 Mar;18(1):16-18. doi: 10.1097/HPC.0000000000000162.

DOI:10.1097/HPC.0000000000000162
PMID:30747760
Abstract

The latest European Society of Cardiology guideline on the management of acute coronary syndromes without persistent ST-elevation stipulates several acceptable pathways through which patients presenting with chest pain can be assessed for unstable coronary disease. This article reviews the data behind the "rule-in and rule-out algorithm," which can exclude acute myocardial infarction within 1 hour of presentation through the use of fifth generation high-sensitivity troponin assays.

摘要

欧洲心脏病学会最新发布的关于非持续性ST段抬高型急性冠状动脉综合征管理的指南规定了几种可接受的途径，通过这些途径可以对胸痛患者进行不稳定型冠心病评估。本文回顾了“纳入与排除算法”背后的数据，该算法可通过使用第五代高敏肌钙蛋白检测在就诊后1小时内排除急性心肌梗死。

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