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[对心绞痛、原发性和复发性心肌梗死患者心脏特异性血液同工酶活性指标的回顾性评估]

[Retrospective evaluation of indicators of cardiospecific blood isoenzyme activity in patients with stenocardia and primary and recurrent myocardial infarction].

作者信息

Makarovskiĭ V V, Sumarokov A V, Zyrianov A M, Nekrasova A I

出版信息

Ter Arkh. 1985;57(5):62-8.

PMID:4023945
Abstract

Comparatively moderate blood fermentemia (KPK, AST, KPK-MB and LDH1) exceeding the level of the statistic M + 1S index in the control group and lasting over 3 to 7 days can be viewed as one of the diagnostic criteria of the preinfarction state. The lack of the correlation between the enzymatic characteristics and the data on blood myoglobin concentration and precordial cartography readings (ECG 35 leads) makes the use of the latter two methods more preferable in the evaluation of the area of necrosis in patients with repeated myocardial infarctions and requires a more careful approach to the prognosis of complications in this patients' group.

摘要

相对中度的血液酶血症(肌酸磷酸激酶、谷草转氨酶、肌酸磷酸激酶同工酶MB和乳酸脱氢酶1)超过对照组统计值M + 1S指数水平且持续3至7天,可视为梗死前状态的诊断标准之一。酶学特征与血肌红蛋白浓度及心前区心电图记录(35导联心电图)数据之间缺乏相关性,使得后两种方法在评估反复心肌梗死患者的坏死面积时更具优势,并且需要对该患者群体并发症的预后采取更谨慎的方法。

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