Cardiac enzyme changes in myxedema coma

Autor: P E Hickman, W Silvester, A A Musk, G H McLellan, A Harris
Rok vydání: 1987
Předmět:
Zdroj: Clinical Chemistry. 33:622-624
ISSN: 1530-8561
0009-9147
DOI: 10.1093/clinchem/33.4.622
Popis: A 74-year-old man with myxedema and hypothermia had increased activities in plasma of creatine kinase (CK; EC 2.7.3.2), aspartate aminotransferase (AST; EC 2.6.1.1), and lactate dehydrogenase (LD; EC 1.1.1.27) and increased proportions of CK-MB (up to 20% of total CK) and LD1 isoenzymes, but no clinical or investigational evidence of associated myocardial infarction. This case illustrates that plasma enzyme activity and isoenzyme profiles in such clinical settings should be interpreted with caution, because increases in CK-MB and LD1 may relate to myxedema coma or hypothermia (or both) rather than to myocardial infarction.
Databáze: OpenAIRE