Ventricular Premature Complexes in the Early Diagnosis of Acute Myocardial Infarction

1985 ◽  
Vol 78 (1) ◽  
pp. 7-10 ◽  
Author(s):  
STANLEY I. BIEL ◽  
ROBERT E. KLEIGER
2004 ◽  
Vol 59 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Stefania BASILI ◽  
Manuela DI FRANCO ◽  
Antonello ROSA ◽  
Patrizia FERRONI ◽  
Veronica DIURNI ◽  
...  

1995 ◽  
Vol 25 (6) ◽  
pp. 1116
Author(s):  
Bon Kwon Ku ◽  
Han Soo Kim ◽  
So Yeon Choi ◽  
Young Woong Hwang ◽  
Joon Han Shin ◽  
...  

1994 ◽  
Vol 24 (4) ◽  
pp. 704-708 ◽  
Author(s):  
John F Tucker ◽  
Richard A Collins ◽  
Alfred J Anderson ◽  
Maureen Hess ◽  
Irmentrud M Farley ◽  
...  

1997 ◽  
Vol 43 (8) ◽  
pp. 1372-1378 ◽  
Author(s):  
Junnichi Ishii ◽  
Jian-hua Wang ◽  
Hiroyuki Naruse ◽  
Shinn Taga ◽  
Masatomo Kinoshita ◽  
...  

Abstract We compared the diagnostic utility of serum concentrations of human heart-type cytoplasmic fatty acid-binding protein (H-FABPc), myoglobin, and their ratio for the early diagnosis of acute myocardial infarction (AMI) in 104 healthy volunteers and 165 patients at admission within 6 h of the onset of chest pain. The ROC curves of the H-FABPc [0.946, 95% confidence interval (CI) = 0.913–0.979] and myoglobin (0.895, 95% CI = 0.846–0.944) between patients with AMI and healthy volunteers were significantly greater than the area under the ratio of myoglobin to H-FABPc (0.823, 95% CI = 0.765–0.881). In 165 patients, the sensitivity (81.8%, 95% CI = 74.2–89.4%), specificity (86.4%, 95% CI = 78.1–94.6%), and predictive accuracy (83.6%, 95% CI = 78.0–89.3%) of H-FABPc >12 μg/L in diagnosing AMI were significantly higher than those of myoglobin, and were similar to those of the combination of H-FABPc >12 μg/L and the ratio ≤14. We conclude that H-FABPc is a more sensitive and specific marker than myoglobin for the early diagnosis of AMI, and that their ratio cannot give a clear advantage over the measurement of H-FABPc alone.


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