The predictive value of troponin T in patients who underwent an extracardiac surgery operation.
Purpose of the study is the research of the diagnostic value of the determination of Troponin T in relation with the other cardiac enzymes in patients who underwent extracardiac surgery operation.


METHODS
42 pts (M = 24, F = 18, mean age 51.7 +/- 17 years) who underwent a surgery operation were studies. For all pts serum enzyme CPK, CPK MB, SGOT and Troponin T was determined 24 hours before and after the operation.


RESULTS
increased value of CPK was observed in all patients. In 14.3% of pts was found abnormal value of CPK. In 1 pt CPK MB was found increased. In no one of the above pts was observed an increased value of Tr-T. No one of the pts had ECG changes and clinical symptoms indicative of ischemic heart disease.


CONCLUSIONS
these results suggest that the determination of Tr-T in serum is more useful diagnostic index for myocardial cell injury in pts who underwent an extracardiac surgery because is not detected in skeletal muscle injury.
2nd Dept. of Internal Medicine, Aristotelian University of Thessaloniki, General Hospital of Giannitsa, Greece.
A
A
Efthimiadis
M
M
Cheiridou
N
N
Lefkos
A
A
Doumalas
P
P
Arampatzis
G
G
Tsapas
D001219:Aspartate Aminotransferases / Q000097:blood; D015415:Biomarkers / Q000097:blood*; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D006801:Humans; D007527:Isoenzymes; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology; D009206:Myocardium / Q000201:enzymology; D011183:Postoperative Complications / Q000175:diagnosis; D013514:Surgical Procedures, Operative; D014336:Troponin / Q000097:blood*; D020107:Troponin T
D015415:Biomarkers; D007527:Isoenzymes; D014336:Troponin; D020107:Troponin T; D001219:Aspartate Aminotransferases; D003402:Creatine Kinase