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  1. Artikel ; Online: Comparative study on electrocardiograms and serological examinations of acute pulmonary embolism and acute non-ST elevation myocardial infarction.

    He, Zhihong / Bi, Wenmiao / Lang, Zhe / Zhen, Yanjie / Jin, Ying / Liu, Hongjuan / Li, Dongfu / Hu, Xiaoning / Li, Huanling

    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc

    2021  Band 27, Heft 2, Seite(n) e12920

    Abstract: Background: The aim of this study was to investigate the value of electrocardiograms (ECGs) and serological examinations in the differential diagnosis of acute pulmonary embolism (APE) and acute non-ST elevation myocardial infarction (NSTEMI) in order ... ...

    Abstract Background: The aim of this study was to investigate the value of electrocardiograms (ECGs) and serological examinations in the differential diagnosis of acute pulmonary embolism (APE) and acute non-ST elevation myocardial infarction (NSTEMI) in order to reduce the rate of clinical misdiagnosis.
    Methods: The clinical data of 37 patients with APE and 103 patients with NSTEMI admitted to our hospital were retrospectively analyzed. The differences in the clinical manifestations, ECGs, myocardial zymograms, D-dimers, and troponin (cTn) of the two groups were compared.
    Results: In the patients with APE, the main symptom-found in 25 cases (67.56%)-was dyspnea, while in the patients with NSTEMI, the main symptom-found in 52 cases (50.49%)-was chest tightness. The incidences of sinus tachycardia and S
    Conclusion: With the occurrence of clinical manifestations like dyspnea, chest tightness, chest pain, and palpitation of unknown causes, the possibility of APE and NSTEMI should be considered.
    Mesh-Begriff(e) Acute Disease ; Anterior Wall Myocardial Infarction ; Arrhythmias, Cardiac ; Biomarkers ; Creatine Kinase ; Creatine Kinase, MB Form ; Dyspnea ; Electrocardiography ; Humans ; Non-ST Elevated Myocardial Infarction/diagnosis ; Pulmonary Embolism/diagnosis ; Retrospective Studies ; ST Elevation Myocardial Infarction
    Chemische Substanzen Biomarkers ; Creatine Kinase (EC 2.7.3.2) ; Creatine Kinase, MB Form (EC 2.7.3.2)
    Sprache Englisch
    Erscheinungsdatum 2021-12-09
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1325530-7
    ISSN 1542-474X ; 1082-720X
    ISSN (online) 1542-474X
    ISSN 1082-720X
    DOI 10.1111/anec.12920
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: The Prognostic Value of the Serum Levels of Brain Natriuretic Peptide, Troponin I, and D-Dimer, in Addition to the Neutrophil-to-Lymphocyte Ratio, for the Disease Evaluation of Patients with Acute Pulmonary Embolism.

    Bi, Wenmiao / Liang, Shaoqing / He, Zhihong / Jin, Ying / Lang, Zhe / Liu, Hongjuan / Wang, Yi / Li, Shuhong

    International journal of general medicine

    2021  Band 14, Seite(n) 303–308

    Abstract: Objective: The present study aims to investigate whether the serum levels of brain natriuretic peptide (BNP), troponin I (TnI), and D-dimer, in addition to the neutrophil-to-lymphocyte ratio (NLR), can be used to determine the prognosis of patients with ...

    Abstract Objective: The present study aims to investigate whether the serum levels of brain natriuretic peptide (BNP), troponin I (TnI), and D-dimer, in addition to the neutrophil-to-lymphocyte ratio (NLR), can be used to determine the prognosis of patients with acute pulmonary embolism (APE).
    Methods: Data were collected from 72 patients that were diagnosed with APE in our hospital from January 2015 to December 2018. These patients were divided into three groups: a high-risk group (n = 10), a moderate-risk group (n = 33), and a low-risk group (n = 29). The serum levels of BNP, TnI, and D-dimer were determined, and the NLR was measured. The receiver operating characteristic (ROC) curve was used to analyze the diagnostic value of the single and combined detection of BNP, TnI, and D-dimer, and the NLR was used to determine the prognosis of patients with APE.
    Results: The serum levels of BNP, TnI, and D-dimer were significantly higher in the high-risk group than they were in the moderate-risk and low-risk groups (P < 0.05). The serum levels of BNP, TnI, and D-dimer were also significantly higher in the moderate-risk group than they were in the low-risk group (P < 0.05). The serum levels of BNP, TnI, and D-dimer, as well as the NLR, were all significantly higher in the death group than they were in the survival group (P < 0.05). For the combined detection of the four indices, the area under the ROC curve was 0.92, the sensitivity was 0.889, and the specificity was 0.904; each of these values was higher than the corresponding values of single detection.
    Conclusion: In patients with APE, higher serum levels of BNP, TnI, D-dimer and NLR are associated with a higher risk stratification, greater severity of disease, and an increased risk of death.
    Sprache Englisch
    Erscheinungsdatum 2021-01-28
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 2452220-X
    ISSN 1178-7074
    ISSN 1178-7074
    DOI 10.2147/IJGM.S288975
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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