Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
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
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 Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vera, C. A.
Right arrow Articles by Bailey, C. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vera, C. A.
Right arrow Articles by Bailey, C. P.
(Chest. 1969;55:295-300.)
© 1969 American College of Chest Physicians

Clinical and Experimental Observation of Serum Enzyme Changes Occurring after Surgical Myocardial Revascularization

Cesar A. Vera M.D.1; Teruo Hirose M.D., F.C.C.P.2; and Charles P. Bailey M.D., F.C.C.P.3

1 Assistant Director, Cardiovascular Laboratory, St. Barnabas Hospital, Bronx, New York
2 Director, Cardiovascular Laboratory, St. Barnadas Hospital, Bronx, New York
3 Director, Department of Thoracic and Cardiovascular Surgery, St. Barnadas Hospital, Bronx, New York

The activity of SGOT and LDH was studied in a selected group of patients and in experimental animals undergoing anterior and posterior myocardial revascularization. In both series, enzymatic elevation patterns similar to those seen in acute myocardial infarction were observed. The SGOT level reached its peak on the first postoperative day and returned to normal by the sixth or seventh day. The LDH level reached its peak 48 hours after surgery, followed by a gradual fall to normal between the tenth and 14th day. Having eliminated the influence of massive surgical stress or extracorporeal circulation, it was concluded that direct trauma to the wall of the left ventricle during construction of a myocardial tunnel is the primary factor responsible for a rise of serum enzyme activity as observed in the following revascularization procedures.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1969 by the American College of Chest Physicians.