LIU Qiong, et al. Clinical study on myocardial injury in patients with return of spontaneous circulation. [J]. Journal of Chongqing Medical University (3):430-431(2006)
LIU Qiong, et al. Clinical study on myocardial injury in patients with return of spontaneous circulation. [J]. Journal of Chongqing Medical University (3):430-431(2006)DOI:
Clinical study on myocardial injury in patients with return of spontaneous circulation
Objective: To investigate the changes of serum myocardium enzyme profile and cardiac troponin I(cTnI) in resuscitated patients
and explore the diagnostic value of cTnI on myocardial injury in patients after cardiopulmonary resuscitation.Methods: Standard cardiopulmonary resuscitation was performed in 82 patients with cardia arrest in emergency ICU.Serum myocardium enzymes and cTnI were determined at the point of cardia arrest and after the return of spontaneous circulation(ROSC).Results: The patients′ plasma cTnI levels was elevated significantly 1 hour after ROSC
and CK?CK-MB?LDH and AST level were increased 2 hours after CPR.The level of the elevated cTnI was responsive to the degree of myocardial injury and the fatality ratio of resuscitated patients.Conclusion: Acute myocardial injuries were present in all resuscitated patients.The level of plasma cTnI could reflect the degree of myocardial injury.
关键词
心肌损伤心肌酶谱心肌肌钙蛋白I自主循环恢复
Keywords
Myocardial injurySerum myocardium enzyme profileCardiac troponin IReturn of spontaneous circulation