Document Detail

Reasonableness of use of the serum isoenzymes creatine kinase and lactate dehydrogenase for the diagnosis of myocardial infarction at a medical center.
MedLine Citation:
PMID:  7405899     Owner:  NLM     Status:  MEDLINE    
At Charity Hospital of Louisiana at New Orleans, in 1978, there was considerable underuse of serum creatine kinase and lactate dehydrogenase isoenzymes for the diagnosis of myocardial infarction. Laboratory generation of creatine kinase isoenzyme tests for patients suspected of having had myocardial infarctions was only partially effective in correcting underuse. It unnecessarily generated some overuse. Appropriate modifications of this policy could improve performance. Additional, effective educational efforts are needed to improve reasonable use of laboratory tests. The study uncovered an unexpected problem in the laboratory--in a significant percentage of cases, results of indicated and ordered tests failed to appear in the charts.
M F Beeler; P G Catrou; J E Grogan; M C Oalmann; R W Sappenfield
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of clinical pathology     Volume:  74     ISSN:  0002-9173     ISO Abbreviation:  Am. J. Clin. Pathol.     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-10-21     Completed Date:  1980-10-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370470     Medline TA:  Am J Clin Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-4     Citation Subset:  AIM; IM    
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MeSH Terms
Clinical Enzyme Tests*
Creatine Kinase / blood*
L-Lactate Dehydrogenase / blood*
Myocardial Infarction / diagnosis*
Retrospective Studies
Reg. No./Substance:
0/Isoenzymes; EC Dehydrogenase; EC Kinase

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

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