心肌型脂肪酸结合蛋白在急性心肌梗死的临床应用进展

被引:7
作者
陈东运
高大胜
机构
[1] 蚌埠医学院一附院
关键词
心肌型脂肪酸结合蛋白; 急性心肌梗死; 心肌标志物;
D O I
暂无
中图分类号
R542.22 [];
学科分类号
1002 ; 100201 ;
摘要
心肌型脂肪酸结合蛋白作为急性心肌梗死早期的诊断指标,受骨骼肌损害的影响极小,对心肌损伤的诊断有显著的特异性;敏感性高,能灵敏的反映心肌损伤;分子量小,是目前常用心肌标志物中最小,心肌损伤后入血早;血中浓度与梗死面积相关性好,可用以估测梗死面积;发病后血中清除快(24h),比其他标志物更适合用于再梗死的诊断。在早期急性心肌梗死(特别是≤3h)的诊断中有其独特的优势,且对再灌注的判定也有肯定的意义,是一个优秀的心肌损伤指标。
引用
收藏
页码:716 / 719
页数:4
相关论文
共 6 条
[1]   Diagnostic accuracy of a bedside qualitative immunochromatographic test for acute myocardial infarction [J].
Alhashemi, JA .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2006, 24 (02) :149-155
[2]   Prognostic value of elevated circulating heart-type fatty acid binding protein in patients with congestive heart failure [J].
Arimoto, T ;
Takeishi, Y ;
Shiga, R ;
Fukui, A ;
Tachibana, H ;
Nozaki, N ;
Hirono, O ;
Nitobe, J ;
Miyamoto, T ;
Hoit, BD ;
Kubota, I .
JOURNAL OF CARDIAC FAILURE, 2005, 11 (01) :56-60
[3]   Early laboratory indicators of acute myocardial infarction [J].
Char, DM ;
Israel, E ;
Ladenson, J .
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 1998, 16 (03) :519-+
[4]  
One-Step Enzyme-Linked Immunosorbent Assay (ELISA) for Plasma Fatty Acid-Binding Protein[J] . K Will H Wodzig,Maurice M A L Pelsers,Ger J van der Vusse,Werner Roos,Jan F C Glatz.Annals of Clinical Biochemistry . 1997 (3)
[5]   DISCRIMINATION BETWEEN MYOCARDIAL AND SKELETAL-MUSCLE INJURY BY ASSESSMENT OF THE PLASMA RATIO OF MYOGLOBIN OVER FATTY-ACID-BINDING PROTEIN [J].
VANNIEUWENHOVEN, FA ;
KLEINE, AH ;
WODZIG, WH ;
HERMENS, WT ;
KRAGTEN, HA ;
MAESSEN, JG ;
PUNT, CD ;
VANDIEIJEN, MP ;
VANDERVUSSE, GJ ;
GLATZ, JFC .
CIRCULATION, 1995, 92 (10) :2848-2854
[6]  
Myocardial injury in critically ill patients. GUEST TG, TUTER PG, LANDENSON JH, et al. Journal of the American Medical Association, The . 1995