In message <[log in to unmask]>,
Mohammad Al-Jubouri <[log in to unmask]> writes
>Dear All
>
>A 33-year-old man presented with chest pain of few
>hours duration. The following biochemical markers were
>performed on admission sample and 12 h later:
>
> Sample 1 Sample 2
>
>CK 158 1896
>AST 33 92
>CKMB mass 2.3 14.9
>TnI <0.1 1.8
>TnT <0.1 0.2
>ECG: non-specific changes.
>Cardiologist impression: subendocardial infarction
>
>The rise in TnT is disappointingly lower than the rise
>in classical enzymes, CKMB mass and TnI. My question
>is do cases of subendocardial infarction produce
>lesser degree of elevation of TnT compared to other
>markers as happened in this case? What are the usual
>levels of TnT encountered in transmural infarcts?
>
>Thanks in anticipation.
>
>Mohammad
>
>
>=====
>Dr. M A Al-Jubouri
>Consultant Chemical Pathologist
>
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I wolud strongly suspect an alternative sorce of CK in this patient
He needs a cath
--
Paul Collinson
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