Bilal İLANBEY, Süleyman ERSOY, Alp YILDIRIM

Şüpheli Miyokard Enfarktüsü Hastalarında High Sensitive Troponin I ve Troponin T Değerlerinin Koroner Anjiyografi Sonuçları ile Uyumu

EKG’de ST segment yükselmesi olmayan miyokard enfarktüsü (NSTEMI) hastalarının tanısında high-sensitive troponinler önemlidir. Seri troponin ölçümleri ve belirli cut-off değerlerin kullanıldığı algoritmalar sayesinde miyokard enfarktüsü için dahil etme ya da dışlama yapılabilmektedir. Bazı hastalar dahil etme veya dışlamaya uymamakta ve şüpheli miyokard enfarktüsü düşünülerek gözlem altına alınmaktadır. Gözlem altına alınan ve klinik olarak miyokard enfarktüsü olasılığı yüksek hastalara koroner anjiyografi yapılmaktadır. Amacımız ESC 2020 kılavuzuna göre gözlem altına alınan hastalarda high-sensitive troponin I ve T’nin koroner anjiyografi ile uyumunu değerlendirmekti. 0-1 saat için hs-cTnI 6-50 ng/L arası ve delta 1s değişikliği

Anahtar Kelimeler:

: esc 2020 kılavuzu, high sensitive troponin, koroner anjiyografi, şüpheli miyokard enfarktüsü

Compatibility of High-Sensitive Troponin I and Troponin T Values with Coronary Angiography Results in Patients with Suspected Myocardial Infarction

High-sensitive troponins are important in the diagnosis of myocardial infarction patients without ST-segment elevation (NSTEMI) on ECG. Myocardial infarction can be included or excluded using serial troponin assays and algorithms with specific cut-off values. Some patients don’t comply with inclusion or exclusion and are observed for suspected myocardial infarction. Patients who are being monitored and have a high clinical probability of myocardial infarction undergo coronary angiography. We aimed to evaluate the compatibility of high-sensitive troponin I and T with coronary angiography in patients under observation according to the ESC 2020 guideline. According to the 0-1 hour algorithm, those who had coronary angiography had a hs-cTnI value between 6-50 ng/L and a delta 1-hour change

Keywords:

esc 2020 guideline, high sensitive troponin, coronary angiography, suspected myocardial infarction,

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