Document Detail

Cardiac enzymes in patients undergoing caesarean section.
MedLine Citation:
PMID:  7889584     Owner:  NLM     Status:  MEDLINE    
Some of the changes reported in the ECG of parturients undergoing Caesarean section are suggestive of myocardial ischaemia. This study determined serum CK total and the isoenzyme CK-MB levels in 21 patients during and after Caesarean section under epidural anaesthesia. Twenty patients complained of chest pain, discomfort and pressure, while 12 had ST segmental depression. Although the total CK activity in ten patients was elevated, CK-MB activity in all patients was negative. The electrocardiographic changes were rate-related and occurred at the time pressure was placed upon the upper abdomen and lower thoracic cage by the surgeon to facilitate Caesarean delivery. The data from this study demonstrate that no myocardial injury as measured by CK-MB activity occurs in parturients undergoing Caesarean delivery despite the complaint of chest pain, discomfort and pressure, and ST changes in the ECG.
R M Ross; T Baker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  42     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-04-14     Completed Date:  1995-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  46-50     Citation Subset:  IM    
Department of Anesthesiology, Monmouth Medical Center, Long Branch, NJ 07740.
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MeSH Terms
Anesthesia, Epidural*
Anesthesia, Obstetrical*
Angina Pectoris / diagnosis
Blood Pressure / physiology
Cesarean Section* / adverse effects
Chest Pain / enzymology,  etiology
Creatine Kinase / blood*
Diagnosis, Differential
Heart Rate / physiology
Myocardial Ischemia / diagnosis
Myocardium / enzymology*
Reg. No./Substance:
0/Isoenzymes; EC Kinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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