Diagnostic value of echocardiogram combined with cTnl, NT-pro BNP and D-dimer for cardiovascular emergencies(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第5期
- Page:
- 576-579
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Diagnostic value of echocardiogram combined with cTnl, NT-pro BNP and D-dimer for cardiovascular emergencies
- Author(s):
- PAN Qifeng
- Department of Cardiology, Wuzhou Gongren Hospital, Wuzhou 543001, China
- Keywords:
- Keywords: echocardiogram cardiac troponin amino-terminal pro-brain natriuretic peptide D-dimer cardiovascular emergencies
- PACS:
- R541
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.05.009
- Abstract:
- Abstract: Objective To explore and analyze the value of echocardiogram combined with cardiac troponin (cTnl), amino-terminal pro-brain natriuretic peptide (NT-pro BNP) and D-dimer (D-D) in the diagnosis of cardiovascular emergencies. Methods A retrospective analysis was performed on the 180 patients with acute cardiovascular diseases. According to different disease types, they were divided into acute myocardial infarction (AMI) group (n=52), acute heart failure (AHF) group (n=63), acute aortic dissection (AAD) group (n=28) and acute pulmonary embolism (APE) group (n=37). All underwent echocardiography for recording their left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDd) and left ventricular end-systolic volume (LVESV). The levels of cTnl, NT-pro BNP and D-D were detected using enzyme-linked immunosorbent assay. The survival rates within 30 d in the 4 groups were compared, and the diagnostic efficiencies of LVEF, cTnl, NT-pro BNP, D-D and combined detection for cardiovascular emergencies were analyzed using receiver operating characteristic (ROC) curves. Results Compared with AAD and APE groups, AMI group had a higher cTnl level and lower D-D level (P<0.05). The NT-pro BNP level in AHF group was significantly higher than that in AMI, AAD and APE groups (P<0.05). LVEF level was lower, and LVEDd and LVESV levels were higher in AMI group as compared with AHF, AAD and APE groups (P<0.05). The 30 d survival rates in AMI, AHF, AAD and APE groups were 90.38%, 90.48%, 89.29% and 91.89%, respectively (P>0.05) and cTnl, NT-pro BNP, D-D, LVEF, LVEDd, LVESV and combined detection had an AUC of 0.680, 0.733, 0.656, 0.708, 0.656, 0.663 and 0.886 for the diagnosis of cardiovascular emergencies. Conclusion The combination of echocardiogram with cTnl, NT-pro BNP and D-D is of great value in diagnosing cardiovascular emergencies.
Last Update: 2023-05-26