Real-time detection of N-terminal emergency brain natriuretic peptide in risk stratification of acute coronary syndrome meaning.docVIP

 PAGE \* MERGEFORMAT 12 Real-time detection of N-terminal emergency brain natriuretic peptide in risk stratification of acute coronary syndrome meaning OF: Prince exceeding Hao Yi Ge Wen Li Yan Hung Wen-Xiang Zhang [Abstract] Objective: To evaluate the real-time detection of the ER N-terminal brain natriuretic peptide (N-terminal-proBNP, NT-proBNP) for the risk stratification of acute coronary syndrome. Methods: 61 patients with acute coronary comprehensive selection sign as the observed group of patients, the study group further divided into acute myocardial infarction and unstable angina pectoris; in 32 patients with stable angina patients as control group. All patients in the hospital before coronary angiography and stenting of all enrolled patients before surgery, immediately after and after 7 d for immediate bedside NT-proBNP testing 1 month after surgery patients were selected for all major cardiovascular events and NYHA heart function points level follow-up, and baseline NT-proBNP 300 pg / mL regrouping point for the sector, further comparison of NT-proBNP MACE events and the impact of NYHA functional class. Results: AMI group, UA group, SA groups before surgery , immediately after, 7 d after the NT-proBNP levels when there were significant differences (P lt;0.01); 3 groups immediately after NT-proBNP levels were higher than those before, but with only in the AMI group were There was a difference between the preoperative (P lt;0.05); after 7 d NT-proBNP levels higher than immediately before and after surgery were lower, AMI group, UA group was statistically significant (P lt;0.05); baseline NT-proBNP gt; = 300 pg / mL in patients 1 month after the incident rate of occurrence of MACE, NYHA functional class were higher than NT-proBNP lt;300 pg / mL in patients (P lt;0.05). Conclusion: The real-time detection of NT-ER proBNP in acute coronary syndrome is an effective means for risk stratification, and the prognosis has some predictive value. [Keywo