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Izikhokelo zoVavanyo kunye nokuxilongwa kweentlungu zesifuba

NgoNovemba 2021, i-American Heart Association (AHA) kunye ne-American College of Cardiology (ACC) ngokudibeneyo yakhupha izikhokelo ezibanzi zokuvavanya kunye nokuxilongwa kweentlungu zesifuba.Izikhokelo zineenkcukacha zovavanyo olusemgangathweni lwemingcipheko, iindlela zeklinikhi, kunye nezixhobo zokuxilonga iintlungu zesifuba, ezibonelela ngeengcebiso kunye ne-algorithms yeekliniki zokuvavanya kunye nokuxilonga intlungu yesifuba kwizigulane zabantu abadala.

Isikhokelo sinikezela ngemiyalezo eyi-10 ephambili kwimiba kunye nezindululo zovavanyo lwanamhlanje lokuxilonga iintlungu zesifuba, ezishwankathelwe kakuhle ngoonobumba abalishumi “iintlungu zesifuba”, ngolu hlobo lulandelayo:

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I-Cardiac troponin ngumqondiso othile wokulimala kweeseli ze-myocardial kwaye i-biomarker ekhethiweyo yokuxilongwa, ukucwangciswa komngcipheko, unyango kunye ne-prognosis ye-coronary syndromes enzima.Izikhokelo ezidityaniswe nokusetyenziswa kwe-troponin ephezulu-sensitivity, kwizigulane ezineentlungu ezibuhlungu zesifuba kunye ne-ACS ekrokrelwayo (ngaphandle kwe-STEMI), zinika ezi ngcebiso zilandelayo xa ubeka iindlela zesigqibo seklinikhi:
I-1.Kwizigulane ezibonisa intlungu yesifuba esibuhlungu kunye ne-ACS ekrokrelwayo, iindlela zesigqibo seklinikhi (CDPs) kufuneka zihlukanise izigulane kwiindawo eziphantsi, eziphakathi, kunye ne-high-risk strata ukuququzelela ukuxilongwa kunye novavanyo olulandelayo lokuxilonga.
I-2.Kuvavanyo lwezigulane ezibonisa intlungu yesifuba esibuhlungu kunye ne-ACS ekrokrelwayo apho i-serial troponins iboniswa ukuba ingabandakanyi ukulimala kwe-myocardial, amaxesha anconywayo emva kokuqokelelwa kwesampula yokuqala ye-troponin (ixesha le-zero) kwimilinganiselo yokuphinda: 1 kwiiyure ze-3 eziphezulu. -sensitivity troponin kunye ne-3 kwiiyure ze-6 kwiimvavanyo eziqhelekileyo zetroponin.
3.Ukulungelelanisa ukufumanisa kunye nokwahlula kokulimala kwe-myocardial kwizigulane ezibonisa intlungu yesifuba esibuhlungu kunye ne-ACS ekrokrelwayo, amaziko kufuneka asebenzise i-CDP ebandakanya iprotocol ye-troponin sampling ngokusekelwe kwi-assay yabo ethile.
I-4.Kwizigulane ezineentlungu ezibuhlungu zesifuba kunye ne-ACS ekrokrelwayo, uvavanyo lwangaphambili xa lufumaneka kufuneka luqwalaselwe kwaye lufakwe kwiiCDP.
I-5.Kwizigulane ezineentlungu zesifuba ezibuhlungu, i-ECG eqhelekileyo, kunye neempawu ezicebisayo ze-ACS ezaqala ubuncinane kwiiyure ze-3 ngaphambi kokufika kwe-ED, i-concentration eyodwa ye-hs-cTn engaphantsi komda wokufunyanwa kumlinganiselo wokuqala (ixesha le-zero) linengqiqo. ukukhuphela ngaphandle ukwenzakala kwe-myocardial.

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I-cTnI kunye ne-cTnT zihlala zisetyenziselwa ukuxilongwa kwekhwalithi ye-myocardial infarction, i-MYO isoloko isetyenziselwa ukuxilongwa kwangaphambili kwe-myocardial infarction, kwaye i-CK-MB isoloko isetyenziselwa ukuxilongwa kwe-myocardial infarction emva kwe-myocardial infarction.I-cTnI okwangoku ngowona mngcipheko weklinikhi kunye nophawu oluthile lokulimala kwe-myocardial, kwaye iye yaba sisiseko esibaluleke kakhulu sokuxilonga ukulimala kwezicubu ze-myocardial (ezifana ne-myocardial infarction) .I-AeHealth inovavanyo olupheleleyo lwezinto ze-myocardial, ezigqithise isatifikethi se-CE, ukubonelela ngokubonelela. isiseko esithembekileyo soxilongo oluncedisayo lwekliniki kunye nezigulane zentlungu yesifuba, kunye nokuncedisa ngokusebenzayo ukwakhiwa kwamaziko eentlungu zesifuba.


Ixesha lokuposa: Apr-02-2022
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