《急診每日一題》心臟移植后肌鈣蛋白或腦鈉肽升高意義2021年11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??
一個最近心臟移植患者到急診科就診。肌鈣蛋白和腦鈉肽都有升高。會有什么顧慮？如有，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)后到3個月內(nèi)肌鈣蛋白會有升高，然后會恢復正常。腦鈉肽會在2個月達高峰，然后恢復正常。這段時間后肌鈣蛋白和腦鈉肽升高可能提示移植排斥。
參考文獻：
Am J EM.2021;41:130
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