Document Detail


Myocardial infarct size and cardiogenic shock.
MedLine Citation:
PMID:  6617675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The relationship between estimated infarct size and cardiogenic shock was investigated in 317 consecutively admitted patients with acute myocardial infarction (AMI). Infarct size was estimated in vivo by serum CK-MB in all patients, and at heart autopsy by histological and histochemical techniques in 23 patients who died in hospital. Although patients with cardiogenic shock (n = 31) had a larger median serum CK-MB estimated infarct size than those without cardiogenic shock (1035 U/l v. 669 U/l, P less than 0.05) there was a substantial overlap in infarct size between the two groups. Heart autopsy confirmed this finding and demonstrated that patients with small subendocardial infarcts also died from shock, especially those with severe 2 or 3 vessel disease and/or infarction fibrosis. Those with cardiogenic shock who survived and those who died from shock had a similar median infarct size, and patients who died from other cardiac causes had the same median infarct size as those who died from shock.
Authors:
P Grande; C Christiansen; B F Hansen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European heart journal     Volume:  4     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  289-94     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Clinical Enzyme Tests
Creatine Kinase / blood
Female
Humans
Isoenzymes
Male
Myocardial Infarction / diagnosis*
Myocardium / pathology*
Shock, Cardiogenic / complications*
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase

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


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