心脏复律后的肌酸磷酸激酶

Creatine phosphokinase following cardioversion.

作者信息

Forssell G, Nordlander R, Nyquist O, Orinius E, Styrelius I

出版信息

Acta Med Scand. 1975 Nov;198(5):349-51. doi: 10.1111/j.0954-6820.1975.tb19556.x.

DOI:10.1111/j.0954-6820.1975.tb19556.x

PMID:1199809

Abstract

Serial estimations of total serum creatine phosphokinase (CPK) have been performed before and during 18-51 hours after cardioversion of supraventricular tachyarrhythmias in 12 patients without acute myocardial infarction (AMI). The maximal CPK rise was 78 mU/ml (110%) and the CPK did not exceed the upper normal limit (130 mU/ml) in more than two patients (149 respectively 156 mU/ml). The CPK rise we have observed in a series of AMI patients varied between 101 (133%) and 2 260 mU/ml (3 780%), mean 900 mU/ml (1 184%). Therefore, cardioversion performed as described seldom seems to interfere with diagnosing AMI by serial estimations of serum CPK during the next 24 hours.

摘要

对12例无急性心肌梗死（AMI）的室上性快速心律失常患者，在复律前及复律后18至51小时内进行了血清总肌酸磷酸激酶（CPK）的系列测定。CPK的最大升高为78 mU/ml（110%），且CPK未超过正常上限（130 mU/ml），超过两名患者（分别为149和156 mU/ml）。我们在一系列AMI患者中观察到的CPK升高在101（133%）至2260 mU/ml（3780%）之间，平均为900 mU/ml（1184%）。因此，按所述进行的复律在接下来24小时内通过血清CPK的系列测定似乎很少干扰AMI的诊断。