ACUTE MYOCARDIAL INFARCTION;
| Autor: | Shahid Hafeez, Asim Javed, Azhar Mahmood Kayani |
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| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | The Professional Medical Journal. 16:198-201 |
| ISSN: | 2071-7733 1024-8919 |
| DOI: | 10.29309/tpmj/2009.16.02.2895 |
| Popis: | Objective: To assess the reliability of the first set of CK-MB in establishing diagnosis of acute myocardial infarction in different subgroups of the patients according to their time of presentation after symptom onset. Material a n d m e t h o d s : Prospective observational study was carried out in Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD) Rawalpindi, from April to September 2005. We studied 300 consecutive cases presenting with typical electrocardiographic changes of acute ST Elevation Myocardial Infarction to the Emergency & Reception department of AFIC/NIHD (confirmed later on as acute STEMI with raised serial serum cardiac enzymes levels). We documented values of CK-MB at the time of presentation in different subgroups of the patients according to duration of symptom onset. R e s u l t s : This study was predominantly male dominated (approximately 78%), with a mean age of 58 +11 years. Majority of patients i.e.216 (72%) presented within first 6 hours of onset of symptoms, 60 (20%) within 6-12 hrs, 6 (2%) within 12-24 hrs and 18 (6%) after 24 hrs of onset of symptoms. Overall serum cardiac enzymes sent at the time of presentation revealed that 126 (42%) patients had normal CK-MB ( |
| Databáze: | OpenAIRE |
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