Dear all,
I have concerns about this case.
We don't measure AST or CKMB and therefore don't have the benefit of ratios.
However we do routinely measure total CK and Troponin I (Bayer Immuno-1).
Using these data alone, my interpretation would be that this man has
experienced an ACS or am I missing something? If others disagree, do we all
need to re-launch our AST and CKMB assays?
Look forward to hearing others views.
Ian Barlow
Scunthorpe
UK
> -----Original Message-----
> From: Greg Watts [SMTP:[log in to unmask]]
> Sent: Thursday, June 27, 2002 12:52 AM
> To: [log in to unmask]
> Subject: Re: A case for your thoughts
>
> Looking at the CKMB:CK ratio this case does not suggest MI to me. Perhaps
> a
> muscle source of the elevated enzymes is more likely. ? ischaemia or
> something? Neither Troponin result is really convincing either.
>
> Greg Watts
> Senior Biochemist
> Sydney Adventist Hospital
> [log in to unmask]
> _______________________________________________________________
>
> -----Original Message-----
> From: Mohammad Al-Jubouri [mailto:[log in to unmask]]
> Sent: Wednesday, 26 June 2002 20:52
> To: [log in to unmask]
> Subject: A case for your thoughts
>
>
> 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
>
>
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