Department of Emergency, Harrison International Peace Hospital Affiliated to Hebei Medical University, Hebei, China.
J Cardiovasc Pharmacol. 2021 Oct 1;78(4):572-580. doi: 10.1097/FJC.0000000000001090.
This study aimed to explore the correlation between QTc dispersion (QTcd) and soluble growth-stimulating gene 2 protein (sST2) after heart rate correction in patients with acute carbon monoxide poisoning heart disease. Among the 150 patients, 35 cases had severe toxic heart disease. The concentrations of sST2, cardiac troponin I, and creatine kinase-MB in the severe group began to increase from admission, 24 hours, and 2 days, respectively, and their detected values were all higher than those in the nonsevere group and the normal control group. There were statistically significant differences in sST2 and QTcd between the poisoning, nonsevere, and normal control groups before the treatment. There was a statistically significant difference between the indexes of the poisoning groups at different degrees 2 and 3 days after poisoning. Receiver operating characteristic curve analysis confirmed the sensitivity and specificity of sST2 and QTcd. The correlation analysis showed that sST2 and QTcd levels were positively correlated with the incidence of severe heart disease at admission. Generally, the combined observation of sST2 and QTcd improved the prediction sensitivity and were early predictor indexes of toxic heart disease.
本研究旨在探讨急性一氧化碳中毒心脏病患者心率校正后 QT 离散度(QTcd)与可溶性生长刺激基因 2 蛋白(sST2)的相关性。在 150 例患者中,35 例有严重中毒性心脏病。sST2、肌钙蛋白 I 和肌酸激酶同工酶-MB 的浓度在重度组分别从入院、24 小时和 2 天开始升高,其检测值均高于非重度组和正常对照组。治疗前中毒组、非重度组和正常对照组之间的 sST2 和 QTcd 存在统计学差异。中毒后 2 天和 3 天不同程度中毒组的各项指标存在统计学差异。受试者工作特征曲线分析证实了 sST2 和 QTcd 的敏感性和特异性。相关性分析表明,sST2 和 QTcd 水平与入院时重症心脏病的发生率呈正相关。一般来说,联合观察 sST2 和 QTcd 提高了预测敏感性,是中毒性心脏病的早期预测指标。