The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction

Qian jin; Huang songdai; Lin weizhuo; Lin zhenrui

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The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction

更新时间：2025-10-15

- The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction
- Vol. 30, Issue 1, Pages: 39-42(2021)
- 作者机构：
  
  广东省东莞市黄江医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R542.22
- Published：2021
- 稿件说明：
移动端阅览
[1]钱进,黄松带,林伟卓,林镇瑞.急诊床旁超声联合POCT诊断AMI的价值[J].临床心电学杂志,2021,30(01):39-42.

Qian jin, Huang songdai, Lin weizhuo, et al. The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction[J]. 2021, 30(1): 39-42.
[1]钱进,黄松带,林伟卓,林镇瑞.急诊床旁超声联合POCT诊断AMI的价值[J].临床心电学杂志,2021,30(01):39-42. DOI：

Qian jin, Huang songdai, Lin weizhuo, et al. The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction[J]. 2021, 30(1): 39-42. DOI：

摘要

目的急诊床旁超声联合即时检验（Point-Of-Care Testing

POCT）技术评估急性心肌梗死患者的临床价值。方法选取2019年1月至2020年10月东莞黄江医院收治的急性心肌梗死患者120例

随机分为3组

床旁超声心动图检查组（EB-Echo组）

急诊床旁超声联合POCT检查组（EB-Echo+POCT组）

和POCT组

每组40例。EB-Echo组和EB-Echo+POCT组病例行床旁超声心动图检查

采集EB-Echo+POCT组和POCT组患者的静脉血

用POCT检测仪检测心肌标志物CK-MB、c Tnl以及Myo的水平。比较各组的诊断符合率、检查反应时间、检查用时及诊断用时。结果 EB-Echo+POCT组检查阳性符合率、阴性符合率和总符合率均为100%

均高于EB-Echo组（总符合率93.5%）和POCT组（总符合率98.6%）

而POCT组阳性符合率、阴性符合率和总符合率（98.2%

100%

98.6%）均高于EB-Echo（90.1%

97.5%

93.5%）。EB-Echo组的检查反应时间为（12.1±3.8）min

检查用时为（7.8±2.2）min

诊断用时为（6.3±1.4）min;EB-Echo+POCT组的检查反应时间为（13.9±3.5）min

检查用时为（7.9±2.0）min

诊断用时为（4.8±1.2）min。POCT的检查反应时间为（15.0±3.1）min

检查用时为（10.4±2.4）min

诊断用时为（7.1±1.6）min。三组相互比较

检查反应时间、检查用时、诊断用时比较t值分别为1.657、1.809、1.735

p>0.05。结论急诊床旁超声联合POCT对急性心肌梗死患者的确诊率可以达到100%

灵敏度较单纯床旁超声和POCT技术好

值得在临床推广使用。

Abstract

Objective To evaluate the clinical value of emergency bedside ultrasound combined with Point-of-care testing in patients with acute myocardial infarction. Methods A total of 120 patients with acute myocardial infarction admitted to Dongguan Huangjiang Hospital from January 2019 to October 2020 were randomly divided into three groups. The 3 groups were bedside echocardiography group（EB-Echo group）

emergency bedside ultrasound combined with POCT Group（EB-Echo+POCT group）

and POCT group

there were 40 cases in each group. Patients in the EB-Echo group and EB-Echo+POCT group were examined by bedside echocardiography. The venous blood of the patients in the EB-Echo+POCT group and the POCT group was collected

and the level of myocardial markers CK-MB

c Tnl and Myo were detected by the POCT detector. Compare the diagnostic coincidence rate

inspection response time

inspection time and diagnosis time of each group. Results The positive coincidence rate

negative coincidence rate and total coincidence rate of the EB-Echo+POCT group were all 100%

which were higher than those of the EB-Echo group（total coincidence rate of 93.5%） and POCT group（total coincidence rate of98.6%）. The POCT group’s positive coincidence rate

negative coincidence rate and total coincidence rate（98.2%

100%

98.6%） were higher than EB-Echo（90.1%

97.5%

93.5%）. The examination reaction time of the EB-Echo group was（12.1±3.8） min

the examination time was（7.8±2.2） min

and the diagnosis time was（6.3±1.4） min; the examination reaction time of the EB-Echo+POCT group was（13.9± 3.5） min

inspection time was（7.9±2.0） min

diagnosis time was（4.8±1.2） min. The reaction time of POCT was（15.0±3.1） min

the time for inspection was（10.4±2.4） min

and the time for diagnosis was（7.1±1.6） min. Comparing the three groups with each other

there was no statistically significant difference in the examination reaction time

examination time

and diagnosis time（t values were 1.659

1.809

and 1.735

p>0.05）. Conclusions Emergency bedside ultrasound combined with POCT can reach a diagnosis rate of 100% in patients with acute myocardial infarction

and the sensitivity is better than pure bedside ultrasound and POCT technology. It is worthy of clinical promotion.

关键词

Keywords

references

床旁检测cTnI、CK-MB在老年急性心肌梗死患者中的早期诊断价值 [J]. 文新强,桑春妮,岳锋雷,胡亚卓,姜超,刘凯,尹周,贺鹏,侯茜,武文玲. 中华灾害救援医学 . 2018(04)

POCT检测肌红蛋白对心肌梗死的诊断价值 [J]. 王彬,岳化葵,熊玮,邓德辉,曾坚平,黄愿月. 检验医学与临床 . 2018(05)

急重症心血管疾病中应用急诊床旁超声心动图的价值 [J]. 潘月娜,孟凡龙,钱福禄. 中国实用医药 . 2016(04)

急诊床旁超声心动图在急重症心血管疾病中应用 [J]. 杨靓,张向阳,吴春波,朱继红. 中华实用诊断与治疗杂志 . 2014(03)

新生儿重症监护室床旁超声心动图筛查的临床意义[J]. 杨春燕,贾焕荣,许平,李宝云,杨玉军,周丽英,杨巧芝. 中华实用儿科临床杂志. 2013 (20)

High-sensitive cardiac troponin hs-TnT levels in sudden deaths related to atherosclerotic coronary artery disease [J] . Tim Beausire,Mohamed Faouzi,Cristian Palmiere,Tony Fracasso,Katarzyna Michaud. Forensic Science International . 2018

High-sensitivity cardiac troponin T for diagnosis of NSTEMI in the elderly emergency department patient: a clinical cohort study. [J] . Riedlinger Dorothee,M?ckel Martin,Müller Christian,Holert Fabian,Searle Julia,von Recum Johannes,Slagman Anna. Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals . 2018 (6)

Clinical performance of a new point-of-care cardiac troponin I test. [J] . Christ Michael,Geier Felicitas,Blaschke Sabine,Giannitsis Evangelos,Khellaf Mehdi,Mair Johannes,Pariente David,Scharnhorst Volkher,Semjonow Veronique,Hausfater Pierre. Clinical chemistry and laboratory medicine . 2018 (8)

Molecular tissue changes in early myocardial ischemia: from pathophysiology to the identification of new diagnostic markers. [J] . Aljakna Aleksandra,Fracasso Tony,Sabatasso Sara. International journal of legal medicine . 2018 (2)

Immunohistochemical detection of early myocardial infarction: a systematic review. [J] . Mondello Cristina,Cardia Luigi,Ventura-Spagnolo Elvira. International journal of legal medicine . 2017 (2)

Acute myocardial infarction as a manifestation of systemic vasculitis. [J] . Reindl Martin,Reinstadler Sebastian Johannes,Feistritzer Hans-Josef,Mayr Agnes,Klug Gert,Marschang Peter,Metzler Bernhard. Wiener klinische Wochenschrift . 2016 (21-2)

Multicenter Evaluation of a 0h/1h-Algorithm in the Diagnosis of Myocardial Infarction Using High-Sensitivity Cardiac Troponin T [J] . Christian Mueller,Evangelos Giannitsis,Michael Christ,Jorge Ordó?ez-Llanos,Christopher deFilippi,James McCord,Richard Body,Mauro Panteghini,Tomas Jernberg,Mario Plebani,Franck Verschuren,John French,Robert Christenson,Silvia Weiser,Garnet Bendig,Peter Dilba,Bertil Lindahl. Annals of Emergency Medicine . 2015

Prospective validation of a 1-hour algorithm to rule-out and rule-in acute myocardial infarction using a high-sensitivity cardiac troponin T assay. [J] . Reichlin Tobias,Twerenbold Raphael,Wildi Karin,Rubini Gimenez Maria,Bergsma Nathalie,Haaf Philip,Druey Sophie,Puelacher Christian,Moehring Berit,Freese Michael,Stelzig Claudia,Krivoshei Lian,Hillinger Petra,J?ger Cedric,Herrmann Thomas,Kreutzinger Philip,Radosavac Milos,Weidmann Zoraida Moreno,Pershyna Kateryna,Honegger Ursina,Wagener Max,Vuillomenet Thierry,Campodarve Isabel,Bingisser Roland,Miró òscar,Rentsch Katharina,Bassetti Stefano,Osswald Stefan,Mueller Christian. CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne . 2015 (8)

Controlled Nucleation for the Regulation of the Particle Size in Monodisperse Gold Suspensions [J] . FRENS G.. Nature Physical Science . 1973 (105)

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