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高敏心肌肌钙蛋白检测因较高的敏感性及阴性预测值，显著提高急性冠状动脉综合征患者的诊断准确性并缩短诊断时间，目前被广泛应用于急性胸痛患者的早期诊断。在稳定性冠心病患者中，依据高敏心肌肌钙蛋白水平进行危险分层对患者预后有提示作用。近年来，诸多研究表明高敏心肌肌钙蛋白检测在急性冠状动脉综合征诊断及稳定性冠心病预后评价方面有重要价值，现对高敏心肌肌钙蛋白在冠心病中的应用研究进展进行综述。“,”High-sensitive cardiac troponin ( hs-cTn ) detection can improve the diagnosis accuracy of acute coronary syndrome and shorten diagnosis time due to its higher sensitivity and negative predictive value .It is widely used in rapid diagnosis in patients suffering acute chest pain and also can predict the prognosis in stable coronary artery disease patients by risk stratification on the basis of hs -cTn levels.In recent years ,numerous studies have shown the important value of hs-cTn detection in diagnosis of acute coronary syndrome as well as the prognosis evaluation of stable coronary artery disease .This article reviews the current progress in hs-cTn application related to coronary heart disease.