USEFULNESS OF CKMB AND TROPONIN-T DETERMINATIONS IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION COMPLICATED BY VENTRICULAR-FIBRILLATION

被引:10
作者
ZABEL, M [1 ]
KOSTER, W [1 ]
HOHNLOSER, SH [1 ]
机构
[1] UNIV FREIBURG,DEPT CARDIOL,W-7800 FREIBURG,GERMANY
关键词
ACUTE MYOCARDIAL INFARCTION; VENTRICULAR FIBRILLATION; TROPONIN-T;
D O I
10.1002/clc.4960160105
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The usefulness of creatine kinase (CK) time activity curves for diagnosis of acute myocardial infarction in patients who have been defibrillated for ventricular fibrillation is limited due to the release of the enzyme as a result of the countershock. The present study of four patients with acute infarction complicated by primary ventricular fibrillation indicates that analysis of CKMB and even more so of troponin T, a specific cardiac antigen, permits reliable diagnosis of acute myocardial infarction in this particular setting. Furthermore, the data indicate that noninvasive assessment of coronary artery patency may be also possible in these patients by means of these two serum markers.
引用
收藏
页码:23 / 25
页数:3
相关论文
共 7 条
[1]   FATE OF PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION WITH PATENCY OF THE INFARCT-RELATED VESSEL ACHIEVED WITH SUCCESSFUL THROMBOLYSIS VERSUS RESCUE ANGIOPLASTY [J].
ABBOTTSMITH, CW ;
TOPOL, EJ ;
GEORGE, BS ;
STACK, RS ;
KEREIAKES, DJ ;
CANDELA, RJ ;
ANDERSON, LC ;
HARRELSONWOODLIEF, SL ;
CALIFF, RM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1990, 16 (04) :770-778
[2]  
EHSSANI A, 1976, AM J CARDIOL, V37, P12
[3]   DETECTION OF CORONARY-ARTERY REPERFUSION WITH CREATINE KINASE-MB DETERMINATIONS DURING THROMBOLYTIC THERAPY - CORRELATION WITH ACUTE ANGIOGRAPHY [J].
GARABEDIAN, HD ;
GOLD, HK ;
YASUDA, T ;
JOHNS, JA ;
FINKELSTEIN, DM ;
GAIVIN, RJ ;
COBBAERT, C ;
LEINBACH, RC ;
COLLEN, D .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 11 (04) :729-734
[4]   ASSESSMENT OF CORONARY-ARTERY PATENCY AFTER THROMBOLYTIC THERAPY - ACCURATE PREDICTION UTILIZING THE COMBINED ANALYSIS OF 3 NONINVASIVE MARKERS [J].
HOHNLOSER, SH ;
ZABEL, M ;
KASPER, W ;
MEINERTZ, T ;
JUST, H .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (01) :44-49
[5]   DIAGNOSTIC EFFICIENCY OF TROPONIN-T MEASUREMENTS IN ACUTE MYOCARDIAL-INFARCTION [J].
KATUS, HA ;
REMPPIS, A ;
NEUMANN, FJ ;
SCHEFFOLD, T ;
DIEDERICH, KW ;
VINAR, G ;
NOE, A ;
MATERN, G ;
KUEBLER, W .
CIRCULATION, 1991, 83 (03) :902-912
[6]   NON-INVASIVE ASSESSMENT OF INFARCT REPERFUSION - THE PREDICTIVE POWER OF THE TIME TO PEAK VALUE OF MYOGLOBIN, CKMB, AND CK IN SERUM [J].
KATUS, HA ;
DIEDERICH, KW ;
SCHEFFOLD, T ;
UELLNER, M ;
SCHWARZ, F ;
KUBLER, W .
EUROPEAN HEART JOURNAL, 1988, 9 (06) :619-624
[7]   INTRACELLULAR COMPARTMENTATION OF CARDIAC TROPONIN-T AND ITS RELEASE KINETICS IN PATIENTS WITH REPERFUSED AND NONREPERFUSED MYOCARDIAL-INFARCTION [J].
KATUS, HA ;
REMPPIS, A ;
SCHEFFOLD, T ;
DIEDERICH, KW ;
KUEBLER, W .
AMERICAN JOURNAL OF CARDIOLOGY, 1991, 67 (16) :1360-1367