Muna Mbudzi 2021, American Heart Association (AHA) neAmerican College of Cardiology (ACC) vakabatana vakapa nhungamiro yakazara yekuongororwa uye kuongororwa kwemarwadzo echipfuva.Nhungamiro inotsanangura yakamisikidzwa njodzi yekuongorora, nzira dzekiriniki, uye maturusi ekuongorora ekurwadziwa kwechipfuva, izvo zvinopa kurudziro uye algorithms kune varapi kuti vaongorore uye vaongorore kurwadziwa kwechipfuva muvarwere vakuru.
Nhungamiro inopa gumi mameseji akakosha pazvinhu uye kurudziro yemazuva ano yekuongorora marwadzo echipfuva, zvakapfupikiswa mumavara gumi "marwadzo echipfuva", sezvinotevera:
Cardiac troponin mucherechedzo chaiwo wekukuvara kwemyocardial cell uye ndiyo inosarudzika biomarker yekuongororwa, njodzi stratification, kurapwa uye kufungidzira kweacute coronary syndromes.Nhungamiro dzakasanganiswa nekushandiswa kwe-high-sensitivity troponin, kune varwere vane kurwadziwa kwakanyanya kwechipfuva uye vanofungidzirwa ACS (kunze kwe STEMI), ipai mazano anotevera paunenge uchigadzirisa nzira dzemakiriniki:
1.Mune varwere vanouya nekurwadziwa kwechipfuva kwakanyanya uye vanofungidzirwa ACS, kliniki sarudzo nzira (CDPs) inofanira kuisa varwere muzvikamu zvakaderera-, zvepakati-, uye zvakanyanya-ngozi kuti zvive nyore kugadzirisa uye kunotevera kuongororwa kwekuongorora.
2.Mukuongororwa kwevarwere vanouya nekurwadziwa kwepfupa kwakanyanya uye vanofungidzirwa ACS kune avo serial troponins vanoratidzwa kuti vasabvisa kukuvara kwemyocardial, nguva dzakakurudzirwa mushure mekutanga troponin sampuli yekuunganidza (nguva zero) yekudzokorora zviyero ndezvi: 1 kusvika maawa 3 kumusoro. -sensitivity troponin uye 3 kusvika kumaawa 6 kune yakajairika troponin assays.
3.Kugadzirisa kuonekwa uye kusiyanisa kwekukuvara kwemyocardial kune varwere vanouya nekurwadziwa kwechipfuva kwakanyanya uye vanofungidzirwa ACS, masangano anofanira kushandisa CDP inosanganisira protocol ye troponin sampling inobva pane imwe nzira yavo.
4.Mune varwere vane kurwadziwa kwechipfuva kwakanyanya uye vanofungidzirwa ACS, kuongororwa kwekare kana kuripo kunofanira kufungwa uye kuiswa muCDPs.
5.Kune varwere vane kurwadziwa kwepfupa kwakanyanya, ECG yakajairika, uye zviratidzo zvinokurudzira zve ACS zvakatanga zvishoma maawa 3 ED isati yasvika, imwe hs-cTn concentration iyo iri pasi pemuganhu wekuonekwa pachiyero chekutanga (nguva zero) inonzwisisika. kusabvisa kukuvara kwemyocardial.
cTnI uye cTnT inowanzoshandiswa muhutano hwehutano hwemyocardial infarction, MYO inowanzoshandiswa mukutanga kuongororwa kwemyocardial infarction, uye CK-MB inowanzoshandiswa mukuongororwa kwemyocardial infarction mushure mokunge myocardial infarction.cTnI pari zvino ndiyo inonyanya kunzwisiswa nekliniki uye yakananga marker yekukuvara kwemyocardial, uye yakave iyo inonyanya kukosha yekuongorora kukuvara kwemyocardial tissue (yakadai semyocardial infarction) .AeHealth ine muedzo wakakwana wezvinhu zvemyocardial, izvo zvakapfuura CE certification, zvichipa imwe yakavimbika yekubatsira kuongororwa hwaro hwekiriniki nevarwere vechipfuva, uye nekushingaira kubatsira kuvakwa kwenzvimbo dzekurwadziwa kwechipfuva.
Nguva yekutumira: Kubvumbi-02-2022