心导管诊治术后血清肌酸激酶MM同工酶亚带及其它心肌酶活力改变

Serum Myoardial Enzymes In Patients After Cardiac Catheterization

本文系统观察了18例心导管诊治术前后血清CK、CK-MB和CK-MM亚带(MM/MM,比值)等心肌酶活力的变化。结果表明:导管检查可引起血清酶平均活力的升高,但绝大多数均低于急性心肌梗塞诊断水平。提示血清酶学检测在心导管术后心肌损伤的诊断中仍具重要价值。

In 18 patients undergoing cardiac catheterization, serum GOT, LDH, LD1 /LD2, CK, CK-MB, CK-MM and its isoforms were measured before operation and 8h, 16h after catheterization. The results indicated serum myocardial enzyme activities rose after catheterization, but lower than criteria levels of acute myocardial infarction. Thus, serum myo- cardial enzyme activity is a reliable marker of myocardial infarction, aven in patiets undergoing cardiac catheterization.