Comparison between strategies using creatine kinase-MB(mass), myoglobin, and troponin T in the early detection or exclusion of acute myocardial infarction in patients with chest pain and a nondiagnostic electrocardiogram

被引:39
作者
Jernberg, T [1 ]
Lindahl, B
James, S
Ronquist, G
Wallentin, L
机构
[1] Univ Uppsala Hosp, Dept Cardiol, Ctr Cardiothorac, S-75185 Uppsala, Sweden
[2] Univ Uppsala Hosp, Dept Clin Chem, S-75185 Uppsala, Sweden
关键词
D O I
10.1016/S0002-9149(00)01245-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Different strategies using creatine kinase-MB(mass), myoglobin, and troponin T were compared in 738 patients admitted because of chest pain and an electrocardiogram not diagnostic of acute myocardial infarction. We conclude that a combination of creatine kinase-MB and troponin T during the first 6 hours enables early detection or exclusion of acute myocardial infarction in this population.
引用
收藏
页码:1367 / +
页数:6
相关论文
共 16 条
[1]   BIOCHEMICAL MARKERS OF MYOCARDIAL INJURY - IS MB CREATINE-KINASE THE CHOICE FOR THE 1990S [J].
ADAMS, JE ;
ABENDSCHEIN, DR ;
JAFFE, AS .
CIRCULATION, 1993, 88 (02) :750-763
[2]   COMBINATION (MULTIPLE) TESTING FOR MYOCARDIAL-INFARCTION USING MYOGLOBIN, CREATINE KINASE-2 (MASS), AND TROPONIN-T [J].
BHAYANA, V ;
COHOE, S ;
PELLAR, TG ;
JABLONSKY, G ;
HENDERSON, AR .
CLINICAL BIOCHEMISTRY, 1994, 27 (05) :395-406
[3]   EVALUATION OF A NEW RAPID QUANTITATIVE IMMUNOASSAY FOR SERUM MYOGLOBIN VERSUS CK-MB FOR RULING OUT ACUTE MYOCARDIAL-INFARCTION IN THE EMERGENCY DEPARTMENT [J].
BROGAN, GX ;
FRIEDMAN, S ;
MCCUSKEY, C ;
COOLING, DS ;
BERRUTTI, L ;
THODE, HC ;
BOCK, JL .
ANNALS OF EMERGENCY MEDICINE, 1994, 24 (04) :665-671
[4]   EARLY DIAGNOSIS OF ACUTE MYOCARDIAL-INFARCTION BY CK-MB MASS MEASUREMENTS [J].
COLLINSON, PO ;
ROSALKI, SB ;
KUWANA, T ;
GARRATT, HM ;
RAMHAMADAMY, EM ;
BAIRD, IM ;
GREENWOOD, TW .
ANNALS OF CLINICAL BIOCHEMISTRY, 1992, 29 :43-47
[5]  
deWinter RJ, 1997, CLIN CHEM, V43, P338
[6]   VALUE OF MYOGLOBIN, TROPONIN-T, AND CK-MB(MASS) IN RULING OUT AN ACUTE MYOCARDIAL-INFARCTION IN THE EMERGENCY ROOM [J].
DEWINTER, RJ ;
KOSTER, RW ;
STURK, A ;
SANDERS, GT .
CIRCULATION, 1995, 92 (12) :3401-3407
[7]  
FRASER CG, 1989, CRIT REV CL LAB SCI, V27, P409
[8]   EARLY DETECTION OF ACUTE MYOCARDIAL-INFARCTION IN PATIENTS PRESENTING WITH CHEST PAIN AND NONDIAGNOSTIC ECGS - SERIAL CK-MB SAMPLING IN THE EMERGENCY DEPARTMENT [J].
GIBLER, WB ;
LEWIS, LM ;
ERB, RE ;
MAKENS, PK ;
KAPLAN, BC ;
VAUGHN, RH ;
BIAGINI, AV ;
BLANTON, JD ;
CAMPBELL, WB .
ANNALS OF EMERGENCY MEDICINE, 1990, 19 (12) :1359-1366
[9]   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
[10]   Early diagnosis of acute myocardial infarction in patients without ST-segment elevation [J].
Kontos, MC ;
Anderson, FP ;
Schmidt, KA ;
Ornato, JP ;
Tatum, JL ;
Jesse, RL .
AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (02) :155-158