Chest ACCP Career Connection
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 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 HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Graeber, G.
Right arrow Articles by Rich, N.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Graeber, G.
Right arrow Articles by Rich, N.

Chest, Vol 97, 521-527, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Alterations in serum creatine kinase and lactate dehydrogenase. Association with abdominal aortic surgery, myocardial infarction and bowel necrosis

GM Graeber, GP Clagett, RE Wolf, PJ Cafferty, JW Harmon and NM Rich
Division of Surgery, Walter Reed Army Institute of Research, Washington, DC.

Experimental studies have shown that peripheral serum creatine kinase and lactate dehydrogenase change with bowel infarction. Some clinical reports have suggested that similar changes occur in patients. This prospective study documents the changes in these enzymes associated with acute myocardial infarction, acute bowel necrosis (MES INF), and uncomplicated abdominal aortic reconstruction. Analysis of 15 patients with AMI, 13 patients undergoing major AAS, and eight patients with MES INF has shown that these conditions may be differentiated by analysis of serum CK and LD isoenzymes. The study suggests that in the absence of electrocardiographic changes, a patient with epigastric distress with elevated levels of serum CK and either CK-MB or CK-BB bands present may well have a mesenteric rather than a myocardial infarction. Acute myocardial infarction can be ruled out further through analysis of serum LD1/LD2 ratios.


This article has been cited by other articles:


Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
C. Nass and L. A. Fleisher
Diagnosing Perioperative Myocardial Infarction in Cardioth oracic and Vascular Surgery
Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2002; 6(3): 219 - 227.
[Abstract] [PDF]

Home page
 J Intensive Care MedHome page
G. C. Kloehn and R. A. O'Rourke
Perioperative Risk Stratification in Patients Undergoing Noncardiac Surgery: Kloehn, GC and O'Rourke, RA Perioperative Risk Stratification in Patients Undergoing Noncardiac Surgery J Intensive Care Med 1999,14 95-108
J Intensive Care Med, March 1, 1999; 14(2): 95 - 108.
[Abstract] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. T. Hodakowski, J. M. Craver, E. L. Jones, S. B. King III, and R. A. Guyton
CLINICAL SIGNIFICANCE OF PERIOPERATIVE Q-WAVE MYOCARDIAL INFARCTION: THE EMORY ANGIOPLASTY VERSUS SURGERY TRIAL
J. Thorac. Cardiovasc. Surg., December 1, 1996; 112(6): 1447 - 1454.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1990 by the American College of Chest Physicians.