Myocardial Infarct

Alternate Name:

Test:

S.CK (H,12-72 hours), S.CK-MB factor (H),S.AST (H,18-72 hours), S.LDH (H,1-7 days), S.ALT (H), WCC (H), ESR (H or N), S.aldolase (H), S.myoglobin (H), ECG (AB)

Sign:

Bradycardia, extrasystolic beats, atrial fibrillation,hypotension, gallop rhythm; pericardial friction rub, pleural effusion (late)

Dd:

Angina pectoris, pneumothorax, chest wall trau-ma, pCitalanary thrombosis, oesophagltis, ischee­mic heart disease, pericarditis, aortic aneurysin, pleurisy, neuralgia, Tietze's syn., Bornholm dis­ease, peptic ulcer, cholecystitis, pancreatitis, neuroses

Phys:

Muscle necrosis Causes release of enzymes into the blood stream. Any muscle trauma or major or­gan disease may cause elevation of enzyme lev­els. Enzyme levels peak at different times, as shown in the graph