Periprocedural cardiac marker elevation after percutaneous coronary artery revascularization: importance and implications

Article Abstract:

Newer devices for opening blocked coronary arteries may reduce the occurrence of complications from this procedure. Angioplasty is most often used to open blocked arteries but about 14% of patients who receive angioplasty have a heart attack as a result of the procedure. Even patients who do not have a heart attack develop elevations in blood levels of certain chemicals indicative of heart damage. These patients have been shown to have a higher risk of death after the procedure. Consequently, they should be closely monitored for up to 3 days after the procedure.

Author: Ohman, E. Magnus, Tardiff, Barbara E.
Editorial, Risk factors

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Prognostic implication of creatine kinase elevation following elective coronary artery interventions

Article Abstract:

Patients who have increased blood levels of creatine kinase after coronary angioplasty appear to have an increased risk of death from heart disease. Creatine kinase is an enzyme in the heart that is released into the blood when the heart is damaged. Researchers studied 253 patients who had elevated creatine kinase levels after angioplasty and 120 patients who did not. Patients with elevated creatine kinase levels had a greater risk of death than those with normal levels. Elevated creatine kinase levels occur in 5% to 20% of those who have angioplasty.

Author: Davidson, Charles J., Parker, Michele A., Bonow, Robert O., Meyers, Sheridan N., Kong, Thomas Q., Jr., Tauke, Jason T.
Patient outcomes, Mortality, Coronary heart disease

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The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction

Article Abstract:

Magnetic resonance imaging of the heart can identify areas of heart muscle that may have reversible damage. This will allow doctors to determine the prognosis of patients who have had a heart attack.

Author: Kim, Raymond J., Wu, Edwin, Rafael, Allen, Chen, Enn-Ling, Parker, Michele A., Simonetti, Orlando, Klocke, Francis J., Bonow, Robert O., Judd, Robert M.
Research, Evaluation, Magnetic resonance imaging, Heart muscle, Myocardium

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Subjects list: Measurement, Complications and side effects, Heart attack, Creatine kinase, Transluminal angioplasty, Balloon angioplasty
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