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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
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Anaesthesiologica Scandinavica
volume
33
issue
6
pages
435 - 438
publisher
Blackwell Munksgaard
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
2016-04-01 11:47:06
date last changed
2025-04-04 14:38:57
@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    = {{Blackwell Munksgaard}},
  series       = {{Acta Anaesthesiologica Scandinavica}},
  title        = {{Serum CK-MB is useful in diagnosis of acute myocardial infarction after total hip arthroplasty}},
  volume       = {{33}},
  year         = {{1989}},
}