急性ST段抬高心肌梗死患者白细胞计数与肌酸激酶同工酶及肌钙蛋白T峰值的相关分析

被引:6
作者
高翔宇
严松彪
李虹伟
陈晖
机构
[1] 首都医科大学附属北京友谊医院心血管中心
关键词
心肌梗死; 白细胞计数; 肌钙蛋白T; 血小板聚集;
D O I
暂无
中图分类号
R542.22 [];
学科分类号
1002 ; 100201 ;
摘要
目的探讨急性ST段抬高心肌梗死(ST-elevation myocardial infarction,STEMI)患者入院即刻WBC计数与肌酸激酶同工酶(CK-MB)及肌钙蛋白T(cTnT)峰值的相关性,及WBC作为心肌坏死面积大小指标的可靠性。方法连续入选2010年1月~2011年6月就诊于北京友谊医院的初发STEMI患者212例,按入院即刻外周血WBC水平分为正常组(WBC<10×10~9/L)120例,升高组(WBC≥10×10~9/L)92例。比较2组患者CK-MB及cTnT峰值的差异,并分析WBC与CK-MB、cTnT峰值的相关性。结果与正常组比较,升高组患者舒张压、TG、CK MB及cTnT峰值明显升高,差异有统计学意义(P<0.05,P<0.01);多元逐步回归分析显示,WBC与CK-MB和cTnT峰值呈正相关(r=0.636,r=0.539,P<0.05)。结论 STEMI的入院即刻WBC水平与CK-MB及cTnT峰值升高程度呈显著线性正相关,WBC是反应STEMI患者心肌坏死面积大小的良好指标。
引用
收藏
页码:1057 / 1059
页数:3
相关论文
共 11 条
[1]  
Low lymphocyte count in acute phase of ST-segment elevation myocardial infarction predicts long-term recurrent myocardial infarction. Nunez J,Nunez E,Bodi V,et al. Coronary Artery Disease . 2010
[2]  
Usefulness of neutrophil to lymphocyte ratio in predicting short-and long-term mortality after non-ST-elevation myocardial infarction. Azab B,Zaher M,Weiserbs KF. The American Journal of Cardiology . 2010
[3]  
Use of neutrophilcount in early diagnosis and risk stratification of AMI. Meissner J,Irfan A,Twerenbold R,et al. The American Journal of The Medical Sciences . 2011
[4]  
Predictive value of elevated white blood cell count in patients with preexisting coronary heart dis-ease:the Bezafibrate Infarction Prevention Study. Haim M,Boyko V,Goldbourt U. Archives of Internal Medicine . 2004
[5]  
Peak cardiac troponin-T level,scintigraphic myocardial infarct size and one year prognosis in patients undergoing primary percutaneous coronary intervention for acute myocardial infarction. Byrne RA,Ndrepepa G,Braun S,et al. The American Journal of Cardiology . 2010
[6]  
Comparison of troponin T to creatine kinase and to radionuclide cardiac imaging infarct size in patients with ST-elevation myocardial infarction undergoing primary angioplasty. Tzivoni D,Koukoui D,Guetta V,et al. The American Journal of Cardiology . 2008
[7]  
Neutrophil count on admission predicts major in-hospital events in patients with a non-ST-segment elevation acute coronary syndrome. I Karabinos,S Koulouris,A Kranidis,S Pastromas,N Exadaktylos,A Kalofoutis. Clinical Cardiology . 2009
[8]   Relationship between serum neutrophil count and infarct size in patients with acute myocardial infarction [J].
Dogan, Ismail ;
Karaman, Kayihan ;
Sonmez, Bircan ;
Celik, Sukru ;
Turker, Omer .
NUCLEAR MEDICINE COMMUNICATIONS, 2009, 30 (10) :797-801
[9]  
Relationship be-tween serum neutrophil count and infarct size in patientswith acute myocardial infarction. Dogan I,Karaman K,Sonmez B,et al. Nuclear Medicine Communications . 2009
[10]  
Predictive value ofcardiac troponin-I compared to creatine kinase-myocardial bandfor the assessment of infarct size as measured by cardiac magneticresonance. Di Chiara A,Dall‘‘‘‘Armellina E,Badano LP. Cardio vasc Med Hagerstown . 2010