[Prognostic value of an early peak CK-MB in plasma of patients treated with streptokinase for acute myocardial infarction]. / Wartosc prognostyczna wczesnego szczytu aktywnosci CK-MB w surowicy u chorych leczonych streptokinaza w ostrym zawale serca.
Pol Arch Med Wewn
; 88(5): 336-40, 1992 Nov.
Article
em Pl
| MEDLINE
| ID: mdl-1300554
ABSTRACT
111 patients below 70 years old, with the first acute myocardial infarctions, 6 hours since the pain occurred--have been treated with streptokinase i.v. In 102 patients we obtained full curve of CK-MB activity. Early peak of CK-MB activity < 15 hours after onset of symptoms we have observed in 59 patients, and late peak of CK-MB activity > 15 hours in 43 patients. There was not any significant statistics differences between early and late groups in frequency of early ventricular fibrillation (< 48 hours), complex ventricular arrhythmia (in 21 day), heart failure and in-hospital mortality. 1 patient died in hospital in early group and in late group also died 1 patient. The follow-up period was from 10 to 48 months (av. 26 +/- 13). 100 patients left the hospital and the full informations we have obtained in 97 cases. No one died in that time. In the group with early peak CK-MB activity we observed more often the unstable angina and the new myocardial infarction (21%) than in the group with late peak of CK-MB activity (15%), but these differences were nonsignificant. In conclusion our results don't confirm that the early peak of CK-MB activity is the positive risk factor of unstable angina and the new myocardial infarction.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estreptoquinase
/
Creatina Quinase
/
Infarto do Miocárdio
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Pl
Revista:
Pol Arch Med Wewn
Ano de publicação:
1992
Tipo de documento:
Article