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Serum CK‐MB is useful in diagnosis of acute myocardial infarction after total hip arthroplasty
Author(s) -
ÅKeson J.,
Boström P.Å.,
Gustafson C.,
Rosberg B.
Publication year - 1989
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1989.tb02941.x
Subject(s) - medicine , myocardial infarction , total hip arthroplasty , arthroplasty , hip arthroplasty , cardiology , surgery
Skeletal muscle trauma and myocardial infarction both increase the serum values of the creatine kinase isoenzyme MB (CK‐MB) which may render the diagnosis of perioperative myocardial infarction in major orthopaedic surgery more difficult. The significance of postoperative changes in CK‐MB was studied in 30 patients subjected to total hip replacement (THR), and the results were compared to CK‐MB in 30 non‐surgical patients with acute myocardial infarction (AMI). AMI patients had significantly higher serum CKMB values at 24 h than THR patients. However, the highest value after THR exceeded the lowest value in AMI. The results suggest that skeletal muscle release of CK‐MB after THR is slight. CK‐MB thus also seems useful in the diagnosis of AMI in postoperative patients.