Prognostic significance of myocardial enzyme release after coronary interventions.
Mild to moderate periprocedural elevation in CK with concurrent CK MB elevation result in increased subsequent myocardial infarction and mortality. However the potential risks that percutaneous revascularization interventions pose must be evaluated in light the risks of alternative procedures and the risks of continued medical management. Prospective clinical trials examining the relationship of periprocedural enzyme elevations to long term prognosis will need to address this issue.
Kelly
D
D
Department of Medicine, Columbia Presbyterian Medical Center, New York, NY 10032, USA.
Arora
R
R
D015906:Angioplasty, Balloon, Coronary; D017225:Atherectomy, Coronary; D003327:Coronary Disease / Q000201:enzymology / Q000628:therapy*; D003402:Creatine Kinase / Q000097:blood*; D006801:Humans; D007527:Isoenzymes; D009206:Myocardium / Q000201:enzymology; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000627:therapeutic use; D011379:Prognosis; D016896:Treatment Outcome
D007527:Isoenzymes; D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D003402:Creatine Kinase