Increased adenosine deaminase serum activity in patients with acute myocardial infarction



Título del documento: Increased adenosine deaminase serum activity in patients with acute myocardial infarction
Revista: Revista latinoamericana de hipertensión
Base de datos: PERIÓDICA
Número de sistema: 000437477
ISSN: 1856-4550
Autors: 1
2
1
1
2
1
2
Institucions: 1Hospital Central Universitario Antonio María Pineda, Servicio de Urgencias, Barquisimeto, Lara. Venezuela
2Universidad Centroccidental "Lisandro Alvarado", Decanato de Ciencias de la Salud, Barquisimeto, Lara. Venezuela
Any:
Volum: 5
Número: 2
Paginació: 38-42
País: Venezuela
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés With the aim to evaluate adenosine deaminase serum activity in patients with acute myocardial infarction, a prospective, observational study were done in 56 patients admitted to the central hospital emergency room with a diagnosis of acute myocardial infarction; 32 had elevation of ST segment in the electrocardiogram, of which 24 underwent thrombolysis therapy and 14 evolved a Q wave. Each patient was submitted to a clinical evaluation and serum activity of T troponin, creatine kinase, creatine kinase MB isoform of and adenosine deaminase were determined. Results illustrated that adenosine deaminase serum activity was 109.6 ± 8.34 nmol/mL, decreasing after treatment to 82.34 ±7.45 nmol/mL and 81.82 ± 9.40 nmol/mL at 24 and 72 hours, respectively, which it was significantly related in those patients that displayed no EST in electrocardiogram and received no thrombolytic treatment. In these patients adenosine deaminase activity was correlated with creatine kinase activity. In patients with elevation of ST segment (independently of developing a Q wave) receiving thrombolytic treatment, the adenosine deaminase serum activity remained elevated and unchanged. In conclusion: adenosine deaminase levels can be used as a molecular marker of the evolution in acute myocardial infarction patients receiving no thrombolytic therapy and presenting no changes in the ST segment
Disciplines Medicina
Paraules clau: Sistema cardiovascular,
Síndrome coronario agudo,
Infarto agudo del miocardio,
Marcadores moleculares,
Adenosina desaminasa,
Creatina quinasa
Keyword: Cardiovascular system,
Acute coronary syndrome,
Myocardial acute infarction,
Molecular markers,
Adenosine deaminase,
Creatine kinase
Text complet: http://biblat.unam.mx/hevila/Revistalatinoamericanadehipertension/2010/vol5/no2/3.pdf