Impact of the measurement of troponin on the triage, prognosis, and treatment of patients with chest pain

被引：6

作者：

Jesse, RL ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Med Coll Virginia, Acute Cardiac Care, Richmond, VA 23284 USA

[2] McGuire Vet Adm Hosp, Richmond, VA 23284 USA

来源：

CLINICA CHIMICA ACTA | 1999年 / 284卷 / 02期

关键词：

chest pain; acute coronary syndrome; pathophysiology; minor myocardial damage; prognosis;

D O I：

10.1016/S0009-8981(99)00082-0

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

There are several issues driving the rapid advancement in. diagnostic technology for acute cardiac syndromes. First is safety, primarily the need to improve sensitivity in lower-risk patients presenting with symptoms suggestive of ischemia; second is fiscal, especially to reduce the cost for the evaluation of low-risk chest pain patients; and third is therapeutic, including the ability to effectively risk-stratify patients who may be candidates for more aggressive therapy. (C) 1999 Elsevier Science B.V. All rights reserved.

引用

页码：213 / 221

页数：9

共 19 条

[1] Time to positivity of a rapid bedside assay for cardiac-specific troponin T predicts prognosis in acute coronary syndromes: A Thrombolysis in Myocardial Infarction (TIMI) 11A substudy [J].

Antman, EM ;

Sacks, DB ;

Rifai, N ;

McCabe, CH ;

Cannon, CP ;

Braunwald, E .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (02) :326-330

[2] Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes [J].

Antman, EM ;

Tanasijevic, MJ ;

Thompson, B ;

Schactman, M ;

McCabe, CH ;

Cannon, CP ;

Fischer, GA ;

Fung, AY ;

Thompson, C ;

Wybenga, D ;

Braunwald, E .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (18) :1342-1349

[3] Prognostic influence of elevated values of cardiac troponin I in patients with unstable angina [J].

Galvani, M ;

Ottani, F ;

Ferrini, D ;

Ladenson, JH ;

Destro, A ;

Baccos, D ;

Rusticali, F ;

Jaffe, AS .

CIRCULATION, 1997, 95 (08) :2053-2059

[4] Value of troponins in predicting therapeutic efficacy of abciximab in patients with unstable angina [J].

Hamm, CW ;

Heeschen, C ;

Goldmann, BU ;

Barnathan, E ;

Simoons, ML .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (02) :185A-185A

[5] Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I [J].

Hamm, CW ;

Goldmann, BU ;

Heeschen, C ;

Kreymann, G ;

Berger, J ;

Meinertz, T .

NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (23) :1648-1653

[6] CHARACTERISTICS AND CONSEQUENCES OF MYOCARDIAL-INFARCTION AFTER PERCUTANEOUS CORONARY INTERVENTION - INSIGHTS FROM THE CORONARY ANGIOPLASTY VERSUS EXCISIONAL ATHERECTOMY TRIAL (CAVEAT) [J].

HARRINGTON, RA ;

LINCOFF, AM ;

CALIFF, RM ;

HOLMES, DR ;

BERDAN, LG ;

OHANESIAN, MA ;

KEELER, GP ;

GARRATT, KN ;

OHMAN, EM ;

MARK, DB ;

JACOBS, AK ;

TOPOL, EJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 25 (07) :1693-1699

[7]

Jesse R. L., 1997, Journal of the American College of Cardiology, V29, p273A

[8] PATIENTS ADMITTED TO THE EMERGENCY ROOM WITH SYMPTOMS INDICATIVE OF ACUTE MYOCARDIAL-INFARCTION [J].

KARLSON, BW ;

HERLITZ, J ;

PETTERSSON, P ;

EKVALL, HE ;

HJALMARSON, A .

JOURNAL OF INTERNAL MEDICINE, 1991, 230 (03) :251-258

[9] DIAGNOSTIC EFFICIENCY OF TROPONIN-T MEASUREMENTS IN ACUTE MYOCARDIAL-INFARCTION [J].

KATUS, HA ;

REMPPIS, A ;

NEUMANN, FJ ;

SCHEFFOLD, T ;

DIEDERICH, KW ;

VINAR, G ;

NOE, A ;

MATERN, G ;

KUEBLER, W .

CIRCULATION, 1991, 83 (03) :902-912

[10] Troponin T identifies patients with unstable coronary artery disease who benefit from long-term antithrombotic protection [J].

Lindahl, B ;

Venge, P ;

Wallentin, L .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (01) :43-48

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