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Abstract
Cardiac troponin T (cTnT), a new marker of myocardial tissue damage, was investigated
in 32 consecutive multiply injured patients. cTnT, creatine kinase (CK) and CK isoenzyme
MB (CK-MB) mass concentrations were measured immediately after admission, 12 and 24
h later and daily thereafter for 4 days. We found a moderate increase in cTnT in 22
patients (72 per cent; peaks; 0.6–5.1μg/l). In only four of these 22 patients did
the CK-MB mass/CK index indicate myocardial injury. ST-T alterations and arrhythmias
did not occur significantly more frequently in patients with increased cTnT plasma
concentrations or positive CK-MB mass/CK index. We found a moderate increase in cTnT
in 72 per cent of all patients with multiple injuries, but we found no association
between an increase in cTnT and the occurence of electrocardiographic changes and
arrhythmias.
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Article info
Publication history
Accepted:
April 4,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
