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| Analysis of The Significance of NT-proBNP and CTNⅠJoint Test in The Differential Diagnosis of Different Types of Arrhythmia |
| Zhao Zhenyan, Yu Xiaohan |
| Department of Blood Transfusion,Zhengzhou Second People's Hospital,Zhengzhou 450000,China |
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Abstract Objective To explore the significance of N-terminal pro-brain natriuretic peptide（NT-ProBNP）and cardiac troponin I（cTnI）joint test in the differential diagnosis of different types of arrhythmia. Methods 126 patients with arrhythmia were selected.The patients were divided into ventricular early group（n=45）,atrial fibrillation group（n=40）,atrial flutter group（n=20）,and ventricular tachycardia group（n=21）.In addition,40 healthy people who underwent routine physical examination in our hospital during the same period were selected as the control group.All selected subjects were tested for NT-ProBNP and cTnI,and the levels of NT-ProBNP and cTnI were compared in the five groups.In addition,the accuracy of different indicators in the differential diagnosis of different types of arrhythmia was compared. Results Compared with the five groups,the control group<ventricular tachycardia group<ventricular early group<atrial fibrillation group<atrial flutter group;compared with the five groups of cTnI,the control group<ventricular early group<atrial fibrillation group<atrial flutter group<ventricular tachycardia group,The difference was statistically significant（P<0.05）.the accuracy of NT-ProBNP and cTnI combined in the diagnosis of different types of arrhythmia was higher than that of a single test of each index,and the difference was statistically significant（P<0.05）. Conclusion The use of NT-ProBNP and cTnI joint test in the differential diagnosis of different types of arrhythmia is helpful to make accurate judgments and improve the accuracy of diagnosis.
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Received: 09 July 2021
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[1] 李华,王士光,罗新,等.远程动态心电监测系统在心律失常诊断中的临床应用价值[J].中国医药导报,2020,17(10):145-148.
[2] 李连海,褚怀德,刘建伟,等.12导联动态心电图与常规心电图对老年冠心病病人无症状心肌缺血和心律失常的诊断价值[J].中西医结合心脑血管病杂志,2019,17(5):787-789.
[3] 陈鹏,胡炜,李娜.血清NT-pro-BNP、cTnⅠ对急性脑梗死并发脑心综合征的预测价值[J].解放军医药杂志,2019,31(8):70-74.
[4] 鲁端. 实用临床心律失常诊断和治疗指南[M].上海:复旦大学出版社,2003.
[5] 胡志成,刘尚雨,沈利水,等.并发心房血栓的不同类型心房颤动患者的临床特点分析[J].中国心血管病研究,2020,18(8):713-718.
[6] 陈文佳,刘越,张笑含,等.心肌肌钙蛋白在非缺血性心血管疾病中的研究进展[J].医学综述,2021,27(5):845-850.
[7] 董万虎,肖瑞,侯鑫乐,等.急性ST段抬高型心肌梗死合并恶性室性心律失常患者血浆NT-proBNP、TC水平的变化及临床意义[J].海南医学,2021,32(2):145-147.
[8] 刘冰,张卫海,傅强,等.CysC、NT-proBNP、cTnT在急性心力衰竭患者中的水平及其联合检测的诊断价值[J].心血管康复医学杂志,2018,27(3):282-286.
[9] 张维贞,向丽,黄山,等.NT-ProBNP和cTnⅠ联合检测对心律失常不同类型的鉴别诊断价值探讨[J].现代检验医学杂志,2018,33(1):102-105. |
| [1] |
. [J]. journal1, 2021, 41(6): 96-97. |
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2022, Vol. 42 
