医学临床研究
  2025年4月8日 星期二           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2019, Vol. 36 Issue (6): 1093-1095    DOI: 10.3969/j.issn.1671-7171.2019.06.018
  论著 本期目录 | 过刊浏览 | 高级检索 |
缺血修饰白蛋白对急性心肌梗死患者在院期间不良心血管事件的预测价值
马牧欣1, 周立君2, 赵继义2
1.海南省第三人民医院急诊科,海南 三亚 572000;
2.哈尔滨医科大学附属第一医院心内科,黑龙江 哈尔滨 150001
Predictive Value of Ischemic Modified Albumin for Adverse Cardiovascular Events in Patients with Acute Myocardial Infarction During Hospitalization
MA Mu-xin, ZHOU Li-jun, ZHAO Ji-yi
Emergency Department, Hainan Third People's Hospital, Sanya, Hainan 572000
全文: PDF (0 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨缺血修饰白蛋白(IMA)对急性心肌梗死(AMI)患者在院期间不良心血管事件(MACE)的预测价值。【方法】AMI患者80例,入院时检测外周血循环IMA水平。根据患者住院治疗期间发生MACE情况将患者分为MACE组(n=16)及非MACE组(n=64)。比较两组患者临床资料及IMA水平的差异;分析肌钙蛋白I(cTnI)及 肌酸激酶同工酶MB(CK-MB)与IMA之间的相关性,同时应用受试者工作特征(ROC)曲线评估IMA对AMI在院期间MACE的预测价值,通过Logistic回归分析IMA与AMI患者在院期间MACE的关系。【结果】MACE组患者IMA、CK-MB及cTnI水平显著高于非MACE组(P<0.05); IMA与cTnI为正相关关系(r=0.573);ROC曲线显示IMA可以作为预测AMI患者在院期间MACE的指标,其曲线下面积(AUC)(95%CI)为0.89(0.79~0.97),其最佳诊断界值为65.33 U/mL。Logistic回归分析发现IMA>65.33 U/mL是AMI患者在院期间发生MACE的独立危险因素。【结论】IMA可以作为预测AMI在院期间发生MACE的指标,且IMA>65.33 U/mL是其独立危险因素。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
马牧欣
周立君
赵继义
关键词 心肌梗死/诊断白蛋白类/血液    
Abstract【Objective】To evaluate the predictive value of ischemia modified albumin (IMA) for the in-hospital major adverse cardiovascular events (MACE).in patients with acute myocardial infarction (AMI).【Methods】Peripheral circulation IMA levels were measured in 80 patients with AMI at admission. According to the occurrence of MACE during hospitalization, patients were divided into MACE group (n=16) and non-MACE group (n=64). The correlation between troponin I (cTnI) and creatine kinase isoenzyme MB (CK-MB) and IMA was analyzed. The predictive value of IMA for MACE in patients with AMI during hospitalization was evaluated by ROC curve. The relationship between IMA and MACE in patients with AMI during hospitalization was analyzed by logistic regression.【Results】 The levels of IMA, CK-MB and cTnI in MACE group were significantly higher than those in non-MACE group (P<0.05); IMA was positively correlated with cTnI (r=0.573); ROC curve showed that IMA could be used as an indicator of MACE in patients with AMI during hospitalization. The area under curve (AUC) (95% CI) was 0.89 (0.79~0.97), and the optimal diagnostic threshold was 65.33 U/mL. Logistic regression analysis showed that IMA > 65.33 U/mL was an independent risk factor for MACE in patients with AMI during hospitalization.【Conclusions】IMA can be used as a predictor of MACE during AMI hospitalization, and IMA > 65.33 U/mL is an independent risk factor.
Key wordsMyocardial Infarction/DI    Albumins/BL
收稿日期: 2018-05-29     
PACS:  R542.22  
引用本文:   
马牧欣, 周立君, 赵继义. 缺血修饰白蛋白对急性心肌梗死患者在院期间不良心血管事件的预测价值[J]. 医学临床研究, 2019, 36(6): 1093-1095.
MA Mu-xin, ZHOU Li-jun, ZHAO Ji-yi. Predictive Value of Ischemic Modified Albumin for Adverse Cardiovascular Events in Patients with Acute Myocardial Infarction During Hospitalization. JOURNAL OF CLINICAL RESEARCH, 2019, 36(6): 1093-1095.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.06.018     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I6/1093
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn