《急診每日一題》心臟移植后肌鈣蛋白和腦鈉肽動態(tài)變化2021年6月
Question 問題：
A patient who has had a recent cardiac transplant presents to the ED. Both troponin and BNP are elevated. Is this concerning? If so, why??
近期做心臟移植患者到急診就診。肌鈣蛋白和腦鈉肽都有升高。這有意義嗎？有與意義，為什么？
?Answer 答案：
Troponin is elevated for up to 3 months after surgery but then should normalize. BNP elevations peak within the first 2 months, then returns to normal. Troponin and BNP elevation after these periods can suggest graft rejection。
手術(shù)后肌鈣蛋白持續(xù)升高，3個月后恢復正常。腦鈉肽升高在頭2個月內(nèi)達高峰，然后恢復正常。肌鈣蛋白和腦鈉肽在這些時間以后升高，提示移植排斥。
參考文獻：
Am J EM, epub 3/14/21
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