PMID: 8959771Nov 1, 1996Paper

Resuscitation from out-of-hospital cardiac arrest: implications for cardiac enzyme estimation

Resuscitation
N R GrubbP Cawood

Abstract

diagnosis of precipitating myocardial infarction is essential for management of victims of out-of-hospital cardiac arrest, since investigations and treatment are determined by the underlying cause. Skeletal muscle and myocardial damage from external cardiac massage and defibrillation may complicate biochemical diagnosis of myocardial infarction. (a) to examine the relationship between cumulative defibrillation energy and serum levels of cardiac troponin T and MB creatine kinase (MB-CK) mass in out-of-hospital cardiac arrest survivors without electrocardiographic evidence of myocardial infarction; (b) to reassess diagnostic thresholds for myocardial infarction using MB-CK mass and troponin T in this setting. 77 victims of out-of-hospital cardiac arrest were studied. Serum was obtained for MB-CK mass, CK and troponin T estimation on the first 4 days of admission. Patients were divided into three groups using electrocardiographic criteria: group 1, myocardial infarction; group 2, no evidence of infarction; and group 3, equivocal electrocardiograms. Correlation coefficients were calculated for highest recorded levels of the biochemical markers versus defibrillation energy. Receiver-operating characteristic plots were used to determ...Continue Reading

Associated Clinical Trials

References

Jun 1, 1992·Archives of Emergency Medicine·S CusackK Little
Dec 10, 1992·The New England Journal of Medicine·P O Collinson, P J Stubbs
Mar 10, 1994·The New England Journal of Medicine·J E AdamsA S Jaffe
Nov 1, 1993·Scandinavian Journal of Clinical and Laboratory Investigation·J RavkildeA Asberg

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Citations

Oct 28, 2008·Resuscitation·Raina M MerchantTerry L Vanden Hoek
May 15, 2003·Resuscitation·Paul A ChecchiaMax Harry Weil
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·J EngdahlJ Herlitz
Oct 5, 2011·Circulation·Lance B BeckerUNKNOWN Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation
Nov 9, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Luciano Babuin, Allan S Jaffe
May 3, 2014·Clinica Chimica Acta; International Journal of Clinical Chemistry·Chien-Hua HuangWen-Jone Chen
May 3, 2014·Current Opinion in Critical Care·Guillaume GeriAlain Cariou
Dec 10, 2014·Critical Care : the Official Journal of the Critical Care Forum·Helge RøsjøUNKNOWN FINNRESUSCI Laboratory Study Group
May 30, 2013·Pacing and Clinical Electrophysiology : PACE·Cheryl R KillingsworthGregory P Walcott
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Byung Kook LeeYong Il Min
Jan 15, 2009·Clinical Cardiology·Yeshitila Agzew
Aug 2, 2011·Acta Paediatrica·Aravind T ShastriPaul Clarke
Oct 26, 2013·International Journal of Cardiology·Guillaume GeriAlain Cariou
Dec 14, 2012·Expert Review of Clinical Pharmacology·Sabino ScollettaFabio Silvio Taccone
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Gregory P WalcottRaymond E Ideker
Feb 10, 2017·A & a Case Reports·Elena de la Fuente TorneroJose Ramón Rodríguez Fraile
Sep 1, 2005·Resuscitation·Audun LanghelleUNKNOWN 2003 Utstein Consensus Symposium
Dec 5, 2002·The Medical Journal of Australia·Michelle A JohnstonFrank F S Daly
Feb 21, 2021·Resuscitation·Enrico BaldiSimone Savastano
Dec 23, 2019·The American Journal of Emergency Medicine·Brit LongAlex Koyfman

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