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3. Point of Care: Useful Clinical Examination and Ultrasonography, 1) Clinical Laboratory Test: Point of Care Testing, Cardiac Marker (Mainly Cardiac Troponin)
Nihon Naika Gakkai Zasshi2019Vol. 108(12), pp. 2467–2474
Abstract
POCT(point of care testing)は,臨床現場で検査が即時に行われ,結果が即時に臨床に利用されるシステムである.救急医療では,臨床検査には,①迅速性,②簡便性,③随時性ならびに④反復性を求められるが,POCTはこれらの全ての要件を満たしている.一方,急性冠症候群の診療における第一選択の心筋マーカーは心筋トロポニン,特に高感度トロポニンである.高感度トロポニン上昇例では,心筋梗塞とそれ以外の病態に起因する心筋傷害との鑑別が不可欠である.
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