Abstract

Daily measurements of serum creatine kinase (CK) activity have been performed in 31 patients during hospitalization for acute myocardial infarction (MI). If CK was raised, isoenzyme B was analysed as well. In this way one probable silent MI and another two overt MIs were diagnosed. MI recurred within three months after discharge in another five patients. None of these eight patients showed even small increases in the daily CK activity when in hospital. This study does not support the concept that reinfarction is a stepwise damage of the myocardium.

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