| The enzymatic and electrocardiographic changes falsely indicative of an acute myocardial infarct during hypothyroidism | |
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MedLine Citation:
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PMID: 8139781 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Estimation of the enzymes CPK and LDH, with their isoenzymes, is useful in diagnosing myocardial infarction and monitoring its progress. However, increases of CPK-MB and LDH1, may be not associated with acute myocardial infarction, as in hypothyroidism, muscular dystrophy, polymyositis, malignant disease. We report a case of hypothyroidism with increased CPK-MB and LDH1. At the beginning the diagnosis was difficult because of altered electrocardiogram associated with one event of "burning" localized altered at the anterior thorax. This case illustrates that plasma enzyme activity and isoenzyme profiles should be interpreted with caution when clinical and instrumental (eco 2D) findings are not entirely associated with myocardial infarction. |
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Authors:
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L Minutiello |
Publication Detail:
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Type: Case Reports; English Abstract; Journal Article |
Journal Detail:
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Title: Minerva cardioangiologica Volume: 41 ISSN: 0026-4725 ISO Abbreviation: Minerva Cardioangiol Publication Date: 1993 Dec |
Date Detail:
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Created Date: 1994-04-28 Completed Date: 1994-04-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0400725 Medline TA: Minerva Cardioangiol Country: ITALY |
Other Details:
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Languages: ita Pagination: 597-602 Citation Subset: IM |
Affiliation:
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Divisione di Cardiologia, Presidio Ospedaliero di Camerino, Regione Marche, USL 20, Marcerata. |
Vernacular Title:
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Alterazioni enzimatiche ed elettrocardiografiche falsamente indicative di infarto miocardico acuto in corso di ipotiroidismo. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Enzyme Tests* Creatine Kinase / blood Diagnosis, Differential Echocardiography Electrocardiography* False Positive Reactions Female Humans Hypothyroidism / diagnosis* Isoenzymes L-Lactate Dehydrogenase / blood Middle Aged Myocardial Infarction / diagnosis* Thyroid Function Tests |
| Chemical | |
Reg. No./Substance:
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0/Isoenzymes; EC 1.1.1.27/L-Lactate Dehydrogenase; EC 2.7.3.2/Creatine Kinase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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