Changes in serum creatine kinase and lactate dehydrogenase caused by acute perioperative myocardial infarction and by transatrial cardiac surgical procedures

Gm, Graeber; Fa, Shawl; Hd, Head; Re, Wolf; Burge,; Pj, Cafferty; Fc, Lough; Zajtchuk, Russ

doi:10.1016/s0022-5223(19)35932-x

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Cited by 23 publications

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“…2° Both ventricular and atrial myocardium contain CK-MB isoenzyme, and cannulation of the atrium may result in an elevation of CK-MB. 21 False elevations of CK-MB levels have also been observed with direct-current defibrillation, renal failure, hypothyroidism, and mesenteric infarction producing bowel necrosis. 9 ' 22, 23 A perfusion defect on a radionuclide scan such as technetium 99m pyrophosphate is indicative of an acute MI.…”

Section: Discussionmentioning

confidence: 99%

Clinical significance of perioperative Q-wave myocardial infarction: The Emory Angioplasty versus Surgery Trial

Hodakowski¹,

Craver²,

Jones³

et al. 1996

The Journal of Thoracic and Cardiovascular Surgery

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The core laboratory screening of postoperative electrocardiograms, particularly in the case of inferior Q-wave infarctions, appears to identify a number of patients as having a Q-wave infarction with minimal clinical significance. Q-wave infarction identified in the postoperative period seems to be a weak end point with little prognostic significance and therefore not valuable for future randomized trials.

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Section: Discussionmentioning

confidence: 99%