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首页> 外文期刊>Circulation journal >Cardiac-troponin-guided heart failure management: is it possible in clinical practice?
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Cardiac-troponin-guided heart failure management: is it possible in clinical practice?

机译:心肌肌钙蛋白指导的心力衰竭管理:在临床实践中可能吗?

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摘要

Biomarker-based management has been increasing in clinical practice because of its advantages, which include high reproducibility, and simplicity in handling and interpreting results, even by non-specialists. B-type natriuretic peptide (BNP) is established as a representative biomarker in the field of heart failure (HF), indicating the effectiveness of diagnosis and risk stratification together with screening of cardiac dysfunction and guiding optimal treatment. A recent published guideline for HF biomarkers states class I-II indication of BNP measurement for HF management. Although this guideline mostly concentrates on the usefulness of BNP, an exceptional reference was made to the contribution of cardiac troponins (cTn) in prognostic judgment as class Hb, presumably due to low evidence levels.
机译:基于生物标志物的管理在临床实践中一直在不断发展,因为它的优点包括高可重复性,以及即使非专业人员也可轻松处理和解释结果。 B型利钠肽(BNP)被确立为心力衰竭(HF)领域的代表生物标志物,表明诊断和风险分层的有效性以及对心脏功能障碍的筛查和指导最佳治疗。 HF生物标志物的最新发布指南规定了用于HF管理的BNP测量的I-II级指示。尽管该指南主要集中在BNP的用途上,但还是由于心脏钙蛋白(cTn)在Hb类的预后判断中的贡献而被特别引用,这可能是由于证据水平较低。

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