CPK-MB isoenzyme determinations in blunt chest trauma

Marleta Reynolds*, James W. Jones

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

To identify the most sensitive screening test for cardiac contusions, a series of 35 patients with blunt chest trauma was evaluated with serial electrocardiograms (ECGs), creatine phosphokinase isoenzymes, and serum enzymes (serum glutamic-oxaloacetic transaminase, lactic dehydrogenase, and creatine phosphokinase). Twenty of the 35 patients had diagnoses of cardiac contusions by ECG. Three with contusions developed complications. Although isoenzyme elevation was present in most patients sustaining blunt chest trauma, no complications of the injury were seen in patients with elevated enzymes and normal ECGs. The ease of obtaining ECGs and their reliability in identifying patients who will have complications make it the best screening procedure for the diagnosis of cardiac contusions.

Original languageEnglish (US)
Pages (from-to)304-306
Number of pages3
JournalJournal of the American College of Emergency Physicians
Volume8
Issue number8
DOIs
StatePublished - Aug 1979

Keywords

  • cardiac injury blunt, isoenzymes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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