[HSF] High CK release - low MB fraction after cardiac surgery

[Tea Acuff]

all Asians look and talk alike, Prasanna.

tea


----- Original Message ----
From: Prasanna Simha M <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, December 30, 2007 8:18:36 PM
Subject: Re: [HSF] High CK release - low MB fraction after cardiac surgery

Asia ??????????????? and that to from Zhou ?
Prasanna

On Dec 30, 2007 11:10 PM, Zhandong Zhou <zzhoumd at pol.net> wrote:

> Dr. Asia,
>
> Will you do post-op angiogram in these cases? Any comments?
>
> Z Zhou
>
> ----- Original Message -----
> From: "Demertzis Stefanos" <Stefanos.Demertzis at cardiocentro.org>
> To: <OpenHeart-L at lists.hsforum.com>
> Sent: Sunday, December 30, 2007 6:04 AM
> Subject: [HSF] High CK release - low MB fraction after cardiac surgery
>
>
>
> Hello Forum!
>
> Do you know this pattern? Lab 12-24 hrs postop shows high CK (>1000 U/l,
> sometimes up to 4000 U/l) with low MB-isoenzyme (<100 U/l or <2%). Patients
> are in good shapeand ready to be transfered to the normal ward (extubated,
> hemodynamically stable, no drips, ECG is normal). Our anesthesiologists'
> interpretation is skeletal muscle cytolysis. This phenomenon appears
> independently from the mode of surgery (OPCAB, ONCAB with or withouts
> cardioplegic arrest) so it does not seem to be connected to the ON-pump
> OFF-pump issue. Values normally turn to normal in the next 24-48 hrs without
> further sequelae (normally..). Any comments?
>
> Happy New Year to all Forum Memebers!
>
> Stefano Demertzis
> Lugano - Switzerland
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-- 
Prasanna Simha M
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