Key result
Serum zinc concentration fell sharply within 3 hours of acute myocardial infarction, reaching a minimum at 2-3 days, with remarkably lower levels associated with graver severity and worse prognosis.
Why the study?
How does serum zinc concentration change in patients with acute myocardial infarction, and does it correlate with clinical severity?
Observational (n=70)
How does serum zinc concentration change in patients with acute myocardial infarction, and does it correlate with clinical severity?
Acute myocardial infarction is associated with a rapid, transient decline in serum zinc concentrations that correlates with clinical severity and prognosis.
Transient zinc decline post-MI should not alter management; leaves open its prognostic value pending validation studies.
The serum zinc concentration was examined in 61 patients with acute myocardial infarction who were admitted within twenty-four hours after the onset. Forty-two of 61 patients were admitted within twelve hours. The zinc level fell sharply as early as within three hours after the onset. The minimum values were attained two or three days after infarction and then rose to normal values within five to ten days. There was a mild degree of change and early recovery in 9 patients who underwent major abdominal surgery. The pathologic factors that could influence these two conditions are discussed. In those patients whose serum zinc concentrations were remarkably lowered, clinically estimated severity was far graver, and prognosis seemed to be much worse. It should be asked whether zinc supplementation would be of therapeutic benefit to patients with acute infarction.
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Katayama et al. (1990) conducted an observational in Acute myocardial infarction (n=70). Serum zinc concentration vs. Major abdominal surgery was evaluated on Serum zinc concentration changes. Serum zinc concentration fell sharply within 3 hours of acute myocardial infarction, reaching a minimum at 2-3 days, with remarkably lower levels associated with graver severity and worse prognosis.
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