THE PREDICTIVE VALUE OF TROPONIN-T IN PATIENTS WHO UNDERWENT AN EXTRACARDIAC SURGERY OPERATION

Purpose of the study is the research of the diagnostic value of the de termination of Troponin T in relation with the other cardiac enzymes i n patients who underwent extracardiac surgery operation. Methods: 42 p ts (M = 24, F = 18, mean age 51.7 +/- 17 years) who underwent a surger y operation were studies. For all pts serum enzyme CPK, CPK MB, SGOT a nd Troponin T was determined 24 hours before and after the operation. Results: increased value of CPK was observed in all patients. In 14.3 % of pts was found abnormal value of CPK. In 1 pt CPK MB was found inc reased. In no one of the above pts was observed an increased value of Tr-T. No one of the pts had ECG changes and clinical symptoms indicati ve of ischemic heart disease. Conclusions: these results suggest that the determination of Tr-T in serum is more useful diagnostic index for myocardial cell injury in pts who underwent an extracardiac surgery b ecause is not detected in skeletal muscle injury.