Myocardial enzyme test items as the need for emergency.doc

 PAGE \* MERGEFORMAT 6 Myocardial enzyme test items as the need for emergency Author: Su Jie-ping, ZHANG Xiao-Jing, Jiang Ben-chun [Keywords:] myocardial enzymes in acute myocardial infarction myocardial cell laboratory Cardiac enzymes is the enzyme within the cell material, with a catalytic cell metabolism and regulation of cardiac myocyte electrical activity role. Myocardial enzyme, including aspartate aminotransferase (AST), lactate dehydrogenase (LDH), creatine kinase (CK) and α  hydroxybutyrate dehydrogenase (α  HBD), creatine kinase isoenzyme (CK  MB). Used clinically in serum AST, LDH, CK, CK  MB, α  HBDH as hypoxic-ischemic myocardial injury related to detection of targets. If the myocardial cell necrosis and rupture, these enzymes will be released into the blood which make it rise. Therefore, the clinical examination of myocardial enzymes generally measured indirectly the extent of myocardial cell damage. However, many hospitals test subjects failed to get the items as part of the emergency test items, or untimely submission of clinical departments, so that patients can receive timely treatment. Myocardial enzyme detection in this paper far as the clinical significance of various types of disease are described below. An acute myocardial infarction When the acute myocardial infarction occurs, due to a large number of myocardial cell injury, so that the various enzymes in serum due to different degrees in different course of the disease increased. AST in the incidence of 6 ~ 12 h was significantly higher, 48h peak, 3 ~ 5 h back to normal. LDH and α  HBD in the incidence of 4 ~ 24 h began to increase, sustained increase of up to 7 ~ 12 d. CK in the incidence of 2 ~ 4 h began to increase, up to 12 times the upper limit of normal 10 ~, 12 ~ 24 h to reach the peak, 2 ~ 4 d return to normal. CK  MB in the incidence of 3  6 h began to increase, 12 ~ 24 h to reach the peak, without the complications 3 d after the return to normal. If