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Procedure to diagnose and monitor cardiac ischemia in patients with acute chest pain without myocardial infarction

机译:诊断和监测无心肌梗死的急性胸痛患者的心脏缺血的程序

摘要

A method for diagnosing an ischemic condition of a subject showing signs and symptoms of acute coronary syndrome but does not meet the diagnostic criteria myocardial infarction by having an amount of troponin T determined in a sample of the minor subject 0.1ng / ml, comprising (a) determining the amount of tyrosine kinase-1 soluble fms-like (sFlt-1) in a sample from said subject, (b) comparing the amount of sFlt-1 determined in step a) with at least a reference quantity, and (c) diagnose the ischemic state based on information obtained in step b), wherein an amount of sFlt-1 below the reference amount is indicative of a non-ischemic condition unassociated or leading to a reversible cardiac dysfunction or heart damage not reversible, and an amount of sFlt-1 equal to or greater than the reference amount is indicative of an ischemic condition associated with or leading to cardiac dysfunction reversible or nonreversible heart damage.
机译:通过在未成年受试者的样本中测定肌钙蛋白T的量为0.1ng / ml来诊断表现出急性冠状动脉综合征的体征和症状但不符合诊断标准的心肌梗塞的受试者的缺血性方法,包括(a )确定来自所述受试者的样品中酪氨酸激酶1可溶性fms样(​​sFlt-1)的量,(b)将步骤a)中确定的sFlt-1的量与至少参考量进行比较,以及(c )根据步骤b)中获得的信息诊断缺血状态,其中低于参考量的sFlt-1量表示非相关的非缺血性疾病或导致可逆的心脏功能障碍或心脏损害不可逆,以及等于或大于参考量的sFlt-1的变化表明与可逆性或不可逆性心脏功能障碍相关或导致的心脏缺血。

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