J. Arnaud et al., LONGITUDINAL CHANGES IN SERUM ZINC CONCENTRATION AND DISTRIBUTION AFTER ACUTE MYOCARDIAL-INFARCTION, Clinica chimica acta, 230(2), 1994, pp. 147-156
The authors studied the changes in serum zinc concentration and distri
bution during the 15 days following acute myocardial infarction in 21
patients, The method is based on ultrafiltration and electrothermal at
omic absorption spectrometry. It is rapid and needs only 2.5 mi of ser
um. Serum and erythrocyte copper and zinc, serum zinc-binding ligands
and serum enzyme activities were also determined. Serum zinc (P < 0.00
001) and exchangeable zinc (mainly albumin-bound zinc, P = 0.01) decli
ned within the first 3 days and then returned gradually to reference r
anges. Exchangeable zinc was correlated with transthyretin (P= 0.00001
) and total serum zinc (P < 0.00001), Exchangeable zinc accounted for
virtually all of the differences in total serum zinc concentration aft
er myocardial infarction. This result could be related to an increase
of zinc uptake by tissues. Therefore, studies are needed to evaluate w
hether zinc supplementation in the early stages of acute myocardial in
farction might improve prognosis.