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Serum CK-MB is useful in diagnosis of acute myocardial infarction after total hip arthroplasty

Åkeson, Jonas LU ; Boström, P A; Gustafson, C and Rosberg, Bertil LU (1989) In Acta Anaesthesiologica Scandinavica 33(6). p.435-438
Abstract
Skeletal muscle trauma and myocardial infarction both increase the serum values of the creatine kinase isoenzyme MB (CK-MB) which may render the diagnosis of perioperative myocardial infarction in major orthopaedic surgery more difficult. The significance of postoperative changes in CK-MB was studied in 30 patients subjected to total hip replacement (THR), and the results were compared to CK-MB in 30 nonsurgical patients with acute myocardial infarction (AMI). AMI patients had significantly higher serum CK-MB values at 24 h than THR patients. However, the highest value after THR exceeded the lowest value in AMI. The results suggest that skeletal muscle release of CK-MB after THR is slight. CK-MB thus also seems useful in the diagnosis of... (More)
Skeletal muscle trauma and myocardial infarction both increase the serum values of the creatine kinase isoenzyme MB (CK-MB) which may render the diagnosis of perioperative myocardial infarction in major orthopaedic surgery more difficult. The significance of postoperative changes in CK-MB was studied in 30 patients subjected to total hip replacement (THR), and the results were compared to CK-MB in 30 nonsurgical patients with acute myocardial infarction (AMI). AMI patients had significantly higher serum CK-MB values at 24 h than THR patients. However, the highest value after THR exceeded the lowest value in AMI. The results suggest that skeletal muscle release of CK-MB after THR is slight. CK-MB thus also seems useful in the diagnosis of AMI in postoperative patients. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Anaesthesiologica Scandinavica
volume
33
issue
6
pages
435 - 438
publisher
Wiley-Blackwell
external identifiers
  • pmid:2800984
  • scopus:0024316690
ISSN
0001-5172
language
English
LU publication?
yes
id
58167d24-645f-465f-835b-ba8970b78144 (old id 1104644)
date added to LUP
2008-08-06 12:17:14
date last changed
2017-01-01 04:32:24
@article{58167d24-645f-465f-835b-ba8970b78144,
  abstract     = {Skeletal muscle trauma and myocardial infarction both increase the serum values of the creatine kinase isoenzyme MB (CK-MB) which may render the diagnosis of perioperative myocardial infarction in major orthopaedic surgery more difficult. The significance of postoperative changes in CK-MB was studied in 30 patients subjected to total hip replacement (THR), and the results were compared to CK-MB in 30 nonsurgical patients with acute myocardial infarction (AMI). AMI patients had significantly higher serum CK-MB values at 24 h than THR patients. However, the highest value after THR exceeded the lowest value in AMI. The results suggest that skeletal muscle release of CK-MB after THR is slight. CK-MB thus also seems useful in the diagnosis of AMI in postoperative patients.},
  author       = {Åkeson, Jonas and Boström, P A and Gustafson, C and Rosberg, Bertil},
  issn         = {0001-5172},
  language     = {eng},
  number       = {6},
  pages        = {435--438},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Anaesthesiologica Scandinavica},
  title        = {Serum CK-MB is useful in diagnosis of acute myocardial infarction after total hip arthroplasty},
  volume       = {33},
  year         = {1989},
}