Optimal enzyme test combination for diagnosis of acute myocardial infarction
One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1978-12, Vol.71 (12), p.1459-1462 |
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| container_end_page | 1462 |
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| container_issue | 12 |
| container_start_page | 1459 |
| container_title | Southern medical journal (Birmingham, Ala.) |
| container_volume | 71 |
| creator | Gann, D Cabello, B DiBella, J Rywlin, A M Samet, P |
| description | One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pain less than 24 hours before admission, creatine phosphokinase MB determination on admission and after 12 hours was sufficient to diagnose of exclude myocardial infarction. One serum LDH isoenzyme determination 24 hours after admission confirmed the diagnosis in 74% of patients. |
| doi_str_mv | 10.1097/00007611-197812000-00004 |
| format | Article |
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In patients with onset of chest pain less than 24 hours before admission, creatine phosphokinase MB determination on admission and after 12 hours was sufficient to diagnose of exclude myocardial infarction. One serum LDH isoenzyme determination 24 hours after admission confirmed the diagnosis in 74% of patients.</description><identifier>ISSN: 0038-4348</identifier><identifier>DOI: 10.1097/00007611-197812000-00004</identifier><identifier>PMID: 725620</identifier><language>eng</language><publisher>United States</publisher><subject>Acute Disease ; Aspartate Aminotransferases - blood ; Clinical Enzyme Tests ; Creatine Kinase - blood ; Electrocardiography ; Humans ; Isoenzymes - blood ; L-Lactate Dehydrogenase - blood ; Myocardial Infarction - diagnosis ; Myocardial Infarction - economics ; Time Factors</subject><ispartof>Southern medical journal (Birmingham, Ala.), 1978-12, Vol.71 (12), p.1459-1462</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-c28e552f2c153bd0c2a4e5c8e1f5b5747c69b5f76c098f08e925886dd960cb243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/725620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gann, D</creatorcontrib><creatorcontrib>Cabello, B</creatorcontrib><creatorcontrib>DiBella, J</creatorcontrib><creatorcontrib>Rywlin, A M</creatorcontrib><creatorcontrib>Samet, P</creatorcontrib><title>Optimal enzyme test combination for diagnosis of acute myocardial infarction</title><title>Southern medical journal (Birmingham, Ala.)</title><addtitle>South Med J</addtitle><description>One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pain less than 24 hours before admission, creatine phosphokinase MB determination on admission and after 12 hours was sufficient to diagnose of exclude myocardial infarction. One serum LDH isoenzyme determination 24 hours after admission confirmed the diagnosis in 74% of patients.</description><subject>Acute Disease</subject><subject>Aspartate Aminotransferases - blood</subject><subject>Clinical Enzyme Tests</subject><subject>Creatine Kinase - blood</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>Isoenzymes - blood</subject><subject>L-Lactate Dehydrogenase - blood</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - economics</subject><subject>Time Factors</subject><issn>0038-4348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtPwzAQxz3wKoVvwOCJLWA7fo6ogoJUqQvMluPYyCiJi50M5dPj0NJbTnf3v9cPAIjRA0ZKPKJigmNcYSUkJiWq5hQ9AwuEalnRmsorcJ3z1yxkkl-CC0EYJ2gBNtvdGHrTQTf87HsHR5dHaGPfhMGMIQ7QxwTbYD6HmEOG0UNjp9HBfh-tSaXQwTB4k-wsvgHn3nTZ3R79Eny8PL-vXqvNdv22etpUtkZqrCyRjjHiicWsblpkiaGOWemwZw0TVFiuGuYFt0hJj6RThEnJ21ZxZBtC6yW4P8zdpfg9lYt1H7J1XWcGF6esBSWyYFBFKA9Cm2LOyXm9S-XbtNcY6Zmd_menT-z-UvOOu-OOqelde2o8gKt_AUIfbDc</recordid><startdate>197812</startdate><enddate>197812</enddate><creator>Gann, D</creator><creator>Cabello, B</creator><creator>DiBella, J</creator><creator>Rywlin, A M</creator><creator>Samet, P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197812</creationdate><title>Optimal enzyme test combination for diagnosis of acute myocardial infarction</title><author>Gann, D ; Cabello, B ; DiBella, J ; Rywlin, A M ; Samet, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-c28e552f2c153bd0c2a4e5c8e1f5b5747c69b5f76c098f08e925886dd960cb243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Acute Disease</topic><topic>Aspartate Aminotransferases - blood</topic><topic>Clinical Enzyme Tests</topic><topic>Creatine Kinase - blood</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>Isoenzymes - blood</topic><topic>L-Lactate Dehydrogenase - blood</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - economics</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gann, D</creatorcontrib><creatorcontrib>Cabello, B</creatorcontrib><creatorcontrib>DiBella, J</creatorcontrib><creatorcontrib>Rywlin, A M</creatorcontrib><creatorcontrib>Samet, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gann, D</au><au>Cabello, B</au><au>DiBella, J</au><au>Rywlin, A M</au><au>Samet, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimal enzyme test combination for diagnosis of acute myocardial infarction</atitle><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle><addtitle>South Med J</addtitle><date>1978-12</date><risdate>1978</risdate><volume>71</volume><issue>12</issue><spage>1459</spage><epage>1462</epage><pages>1459-1462</pages><issn>0038-4348</issn><abstract>One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pain less than 24 hours before admission, creatine phosphokinase MB determination on admission and after 12 hours was sufficient to diagnose of exclude myocardial infarction. One serum LDH isoenzyme determination 24 hours after admission confirmed the diagnosis in 74% of patients.</abstract><cop>United States</cop><pmid>725620</pmid><doi>10.1097/00007611-197812000-00004</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1978-12, Vol.71 (12), p.1459-1462 |
| issn | 0038-4348 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74282009 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acute Disease Aspartate Aminotransferases - blood Clinical Enzyme Tests Creatine Kinase - blood Electrocardiography Humans Isoenzymes - blood L-Lactate Dehydrogenase - blood Myocardial Infarction - diagnosis Myocardial Infarction - economics Time Factors |
| title | Optimal enzyme test combination for diagnosis of acute myocardial infarction |
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