Κατεύθυνση Μονάδες Εντατικής Θεραπείας και Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2020-12-04

2020

Gorogia Efrosini

Χριστίνα Μαρβάκη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Αντωνία Καλογιάννη, Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Γεωργία Τουλιά, Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ

Υψηλής ευαισθησίας καρδιακή τροπονίνη: Εξέταση εκλογής στο οξύ έμφραγμα του μυοκαρδίου

Greek

Acute myocardial infarction, Diagnosis, Troponin, High sensitivity cardiac troponin

Introduction: The current research in the field of cardiovascular diseases aims to propose diagnostic and / or prognostic biomarkers, which will provide accurate and timely diagnosis of these diseases, with the aim of treating them immediately and reducing the morbidity and mortality rate in human population.
Aim: The aim of this review was to explore the diagnostic performance of high sensitivity Troponin (hs-cTn) in patients with Acute Myocardial Infarction (AMI) symptoms.
Method: A systematic review of the literature and a search of articles in international databases (Pubmed, Cinahl, Google Scholar, Cochrane Library) was performed. Selected articles in Greek and English published in the last 5 years. 14 studies were found that met the criteria for their participation in the review.
Results: The main finding of this review was the significant improvement in diagnostic accuracy with the use of high-sensitivity cardiac troponin, especially in patients presenting to the Emergency Department (ED) early after the onset of symptoms. The increased prognostic value of the high-sensitivity method for detecting cardiac troponin allows for improved risk stratification. For patients presenting in ED with ICU with typical symptoms, the use of hs-cTn assays at the 99th percentile may help identify patients at low risk for OEM.
Conclusions: The use of high sensitivity cardiac troponin, as the main diagnostic tool, can significantly reduce hospital admissions and bring significant benefits to both patients and healthcare providers.

Health Sciences

Acute myocardial infarction, Diagnosis, Troponin, High sensitivity cardiac troponin

No

0

Yes

53

60

File access is restricted only to the intranet of UoA.

https://pergamos.lib.uoa.gr/uoa/dl/object/2928703