[Intraoperative and postoperative course of enzyme activities in patients with angiographically closed and open aortocoronary bypass grafts].
30 patients who consecutively underwent cardiac surgery with extracorporeal circulation were investigated with regard to preoperative, intraoperative and postoperative activities of creatine kinase (CK) and CKMB isoenzyme (CK-MB), as well as myoglobin concentrations in the blood. 12 lead electrocardiograms were taken before and after the operation. At subsequent control angiography, of 18 patients with coronary heart disease 10 showed patent bypass grafts, whilst the remaining 8 patients had at least one occluded graft. 12 patients served as a control group, half of them undergoing mitral valve replacement and the other half aortic valve replacement. There was no significant difference in enzyme activity patterns between the groups. Specific determinations together with ECG monitoring can be of diagnostic help in perioperative control of these patients.
D001014:Aortic Aneurysm / Q000601:surgery; D001026:Coronary Artery Bypass; D003402:Creatine Kinase / Q000378:metabolism*; D004562:Electrocardiography; D006801:Humans; D007432:Intraoperative Period; D007527:Isoenzymes; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery; D009211:Myoglobin / Q000097:blood; D011184:Postoperative Period; D013927:Thrombosis / Q000378:metabolism
D007527:Isoenzymes; D009211:Myoglobin; D003402:Creatine Kinase
Intraoperativer und postoperativer Verlauf von Enzymaktivitäten bei Patienten mit angiographisch verschlossenen und offenen aortokoronaren Bypassgrafts.