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.
Efthimiadis
A
A
2nd Dept. of Internal Medicine, Aristotelian University of Thessaloniki, General Hospital of Giannitsa, Greece.
Cheiridou
M
M
Lefkos
N
N
Doumalas
A
A
Arampatzis
P
P
Tsapas
G
G
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