Clinical Chemistry Link to Randox Laboratories Web Site
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Clinical Chemistry 36: 883-887, 1990;
This Article
Right arrow Full Text (PDF)
Right arrow Submit an electronic Letter to
the Editor about this paper
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Griesmacher, A.
Right arrow Articles by Muller, M. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Griesmacher, A.
Right arrow Articles by Muller, M. M.

Clinical Chemistry, Vol 36, 883-887, Copyright © 1990 by American Association for Clinical Chemistry

Diagnosis of perioperative myocardial infarction by considering relationship of postoperative electrocardiogram changes and enzyme increases after coronary bypass operation

A Griesmacher, M Grimm, W Schreiner and MM Muller
2nd Department of Surgery, University of Vienna, Austria.

We report the results of enzyme determinations in sera from 88 patients, 65 of whom showed inconspicuous reconvalescence, 14 who had myocardial infarction within 24 h (MI 1) after bypass surgery, and nine with myocardial infarction between 24 and 48 h postoperatively (MI 2). We wanted to determine whether the consequent measurement of activities of total creatine kinase (CK), CK isoenzyme MB (CK-MB), lactate dehydrogenase, alpha-hydroxybutyrate dehydrogenase, and aspartate aminotransferase, conducted as a part of routine laboratory diagnostics, provided meaningful information for diagnosing infarcts besides that obtained from the electrocardiogram. The postoperative mean values of the enzyme activities in blood were significantly different among the three groups; however, only a combined evaluation of CK and CK-MB by means of a discriminant analysis allowed the prediction of MI (sensitivity: MI 1 = 98.5%, MI 2 = 95.4%; specificity: MI 1 = 71.4%, MI 2 = 81.8%). CK greater than 600 U/L or CK-MB greater than 45 U/L supports the diagnosis of acute MI.


The following articles in journals at HighWire Press have cited this article:


Home page
 Am. J. Physiol. Endocrinol. Metab.Home page
C. Kennergren, V. Mantovani, L. Strindberg, E. Berglin, A. Hamberger, and P. Lonnroth
Myocardial interstitial glucose and lactate before, during, and after cardioplegic heart arrest
Am J Physiol Endocrinol Metab, April 1, 2003; 284(4): E788 - E794.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
T. A Abdel Aziz, M. A Ali, D. G Roberts, N. Al Khaja, T. A Abdel Aziz, M. A Ali, D. G Roberts, and N. Al Khaja
Troponin T as a Marker of Infarction During Coronary Bypass Surgery
Asian Cardiovasc Thorac Ann, March 1, 2000; 8(1): 19 - 23.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
M GALIÑANES
In search of a reliable marker of tissue injury during heart surgery
Heart, October 1, 1998; 80(4): 317 - 318.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
I. Birdi, G. D. Angelini, and A. J. Bryan
Biochemical Markers of Myocardial Injury During Cardiac Operations
Ann. Thorac. Surg., March 1, 1997; 63(3): 879 - 884.
[Abstract] [Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. Menasche, W. R. E. Jamieson, W. Flameng, M. K. Davies, and on behalf of the Multinational Acadesine Study Gro
ACADESINE: A NEW DRUG THAT MAY IMPROVE MYOCARDIAL PROTECTION IN CORONARY ARTERY BYPASS GRAFTINGResults of the first international multicenter study
J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 1096 - 1106.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1990 by the American Association for Clinical Chemistry.