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Comparison of serum cardiac troponin-Ⅰ and creatine kinase MB isoenzyme concentrations in asphyxiated neonates
摘    要:Objective: To assess the correlation of signs of myocardial damage to serum cardiac troponin I (cTnI) and creafine kinase MB isoenzyme (CK-MB) concentrations. Methods: Blood samples were collected from 25 term asphyxiated neonates and 25 controls at 12 h of age by immunoassay. The asphyxiated neonates were followed up until discharge or death. Results: Asphyxiated neonates had significantly higher concentrations of cTnI and CK-MB than controls ( P 〈 0.001 ). Serum cTnI concentrations were significantly higher in asphyxiated neonates who developed hypotension, heart failure or those had low ejection fraction (P 〈 0.01 ). Serum cTnI concentrations were significantly higher in asphyxiated who died than those who survived (P 〈 0. 01). There was no significant difference in serum CK-MB mass concentrations between asphyxiated neonates with and without these complications. Conclusion: Unlike CK-MB, serum cTnI concentrations are significantly higher in asphyxiated neonates who died or developed cardiac dysfunction.

关 键 词:肌钙蛋白  肌酸激酶  围产期  心脏水肿

Comparison of serum cardiac troponin-I and creatine kinase MB isoenzyme concentrations in asphyxiated neonates
Nouran F. Hussien Eman A. Abdel Ghany Amany E.Elwan Yasser H.Kamel Dina K.Ali. Comparison of serum cardiac troponin-I and creatine kinase MB isoenzyme concentrations in asphyxiated neonates[J]. Journal of Hainan Medical College, 2009, 15(1): 31-36
Authors:Nouran F. Hussien Eman A. Abdel Ghany Amany E.Elwan Yasser H.Kamel Dina K.Ali
Affiliation:Pediatric Department, Neonatology Department, Cairo University Hospitals
Abstract:Objective:To assess the correlation of signs of myocardial damage to serum cardiac troponin I(cTnI)and creatine kinase MB isoenzyme(CK-MB)concentrations.Methods:Blood samples were collected from 25 term asphyxiated neonates and 25 controls at 12 h of age by immunoassay.The asphyxiated neonates were followed up until discharge or death.Results:Asphyxiated neonates had significantly higher concentrations of cTnI and CK-MB than controls(P<0.001).Serum cTnI concentrations were significantly higher in asphyxiated neonates who developed hypotension,heart failure or those had low ejection fraction(P<0.01).Serum cTnI concentrations were significantly higher in asphyxiated who died than those who survived(P<0.01).There was no significant difference in serum CK-MB mass concentrations between asphyxiated neonates with and without these complications.Conclusion:Unlike CK-MB,serum cTnI concentrations are significantly higher in asphyxiated neonates who died or developed cardiac dysfunction.
Keywords:Cardiac troponin Ⅰ  Creatine kinase MB isoenzyme(CK-MB)  Perinatal asphyxia  Cardiac dysfunction
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