急性心肌梗死患者血清肌酸激酶同工酶高峰与充血性心力衰竭的关系

Relationship of serum CK-MB peak and congestive heart failure in patients with acute myocardial infarction

1目的 了解急性心肌梗死 (AMI)患者血清肌酸激酶同工酶 MB(CK-MB)高峰与充血性心力衰竭 (下称“心衰”)的关系。 2方法 对 3 4例 AMI患者采用免疫抑制法测定系列血清 CK-MB,并观察其并发心衰的情况。 3结果 AMI并发心衰患者 9例 (心衰组 ,其中约 40 %在 2 4h后并发心衰 ) ,AMI无心衰患者 2 5例 (无心衰组 ) ,两组血清 CK-MB高峰时间均在 2 4h内 ,但心衰组血清 CK-MB峰值比无心衰组明显增高 (P<0 .0 1)。 4结论 测定血清 CK-MB峰值有助于预测

Objective To investigate the relationship of serum creatine kinase isoenzyme MB(CK MB)peak and congestive heart failure (CHF) in patients with acute myocardial infarction(AMI).Methods serum CK MB of 34 patients with AMI were delected by immunosuppression,and those acompanied with CHF were observed.Results There were 9 cases acompanied with CHF after 24 hours(CHF group),and 25 cases without CHF (non CHF group).The peak hours of serum CK MB of both groups were within 24 hours,but that of CHF group was obviously incereased than that of non CHF group(P<0.01).Conclusion Peak serum CK MB can help to forecast AMI acompanied with CHF. [