Why the study?
Does serial monitoring of CPK-MB and LDH isoenzymes improve the early recognition of postoperative acute myocardial infarction in surgical patients compared to ECG?
Population
120 surgical patients, comprising 20 noncardiac surgical patients and 100 patients undergoing coronary…
Comparison
Serial monitoring of lactate dehydrogenase and… vs Electrocardiogram (ECG)
Design
Cohort
Follow-up
early postoperative period
Authors
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Supports CPK-MB as ECG adjunct post-CABG when findings are inconclusive; leaves open prospective validation for routine outcome benefit.
Does serial monitoring of CPK-MB and LDH isoenzymes improve the early recognition of postoperative acute myocardial infarction in surgical patients compared to ECG?
Serial monitoring of the CPK-MB isoenzyme is a sensitive and valuable method for the early recognition of postoperative acute myocardial infarction, especially when ECG findings are inconclusive.
Dixon et al. (1973) studied this question.
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