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Diagnostic value of ischemia-modified albumin in acute coronary syndrome and acute ischemic stroke

机译:缺血修饰白蛋白对急性冠脉综合征和急性缺血性中风的诊断价值

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Objective: To investigate diagnostic value of ischemia-modified albumin (IMA) levels in patients applying to emergency with symptoms of acute coronary syndrome (ACS) and acute ischemic stroke (AIS).Methods: Two patient groups (ACS and AIS) and a control group were constituted. The study was discontinued upon reaching 30 patients in each group. Following patient approval at the initial visit, a total of 10 ml venous blood sample was obtained from all patients with a high clinical suspicion of ACS and AIS. The Troponin I and the IMA levels were determined in the blood samples.Results: Statistically significant higher IMA values were determined in the patient groups compared to the control group (p 0.05 for both groups). The sensitivity of IMA was 83% and 87% for ACS and AIS, respectively. The specificity of IMA was 90% and 87% for ACS and AIS, respectively.Conclusion: The sensitivity and specificity values, determined according to the optimal cut-off values in the groups demonstrated that IMA could be a useful diagnostic marker in ACS and AIS patients.
机译:目的:探讨缺血修饰白蛋白(IMA)水平在急诊急性冠脉综合征(ACS)和急性缺血性中风(AIS)症状患者中的诊断价值。方法:两组患者(ACS和AIS)和对照组组组成。每组达到30名患者后,该研究便中止。在初次就诊时经过患者批准后,从临床上高度怀疑ACS和AIS的所有患者中总共采集了10毫升静脉血。测定了血样中的肌钙蛋白I和IMA水平。结果:与对照组相比,在患者组中IMA值具有统计学意义的显着升高(两组均P = 0.05)。 IMA对ACS和AIS的敏感性分别为83%和87%。结论:IMA对ACS和AIS的特异性分别为90%和87%。结论:根据最佳临界值确定的敏感性和特异性值表明,IMA可以作为ACS和AIS的有用诊断指标耐心。

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