Effect of percutaneous balloon mitral valvuloplasty on serum creatinine phosphokinase MB-isoenzyme levels
| Autor: | Wing-Hing Chow, King Loong Cheung, K. H. Fu, J. P. S. Li, Alex S. B. Yip, J. S. K. Lee |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Myocardial Infarction Hemodynamics Balloon Catheterization Electrocardiography Internal medicine Mitral valve medicine Humans Mitral Valve Stenosis Myocardial infarction Creatine Kinase Ejection fraction biology business.industry Balloon catheter Clinical Enzyme Tests Middle Aged medicine.disease Isoenzymes medicine.anatomical_structure Echocardiography Anesthesia Cardiology biology.protein Female Creatine kinase Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Diagnosis. 29:179-182 |
| ISSN: | 1097-0304 0098-6569 |
| DOI: | 10.1002/ccd.1810290302 |
| Popis: | Twenty-one patients with moderate to severe mitral stenosis were treated with percutaneous balloon mitral valvuloplasty (PBMV) using Inoue mitral double-lumen balloon catheters. Creatinine phosphokinase MB isoenzyme (CPK-MB) levels were measured at baseline, 5 min, 6 h, and 18 h post dilatation. Haemodynamic indexes, 12-lead ECGs, and 2-dimensional echocardiograms were performed to evaluate systolic function postprocedure. CPK-MB levels were modestly increased at 5 min and at 6 h postprocedure compared with the baseline level (p < 0.001) but were still within the normal reference range, except for one patient who had a level at 5 min minimally above the upper limit of normal. CPK-MB levels were not significantly increased at 18 h after the procedure. No significant changes in ejection fractions, 12-lead ECGs, and regional wall motion occurred in any of the patients studied. In conclusion, PBMV causes modest early elevation of CPK-MB. This elevation is not associated with changes in LV systolic function and does not interfere with the diagnosis of acute myocardial infarction using the enzyme elevation criteria. |
| Databáze: | OpenAIRE |
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