Serial changes in the concentrations of 14 trace metals (Cu, Fe, Al, Ni, Sr, Ba, Mn, Cs, Sn, Cr, Zn, Pb, Mo, and Cd) in blood serum of patients who had sustained an acute myocardial infarction and in patients who had sustained other cardiac trauma were determined by emission spectrometry. Comparable data for both patient groups were obtained for the serum enzymes, creatine phosphokinase, glutamic oxaloacetic transaminase, and lactic dehydrogenase. Multivariate analysis of variance indicated that changes in serum levels of copper, iron, aluminum, and nickel during the first 7 days following an acute myocardial infarction might be useful in the classification of patients. Using such a trace-metal profile, the discriminant analysis technique of pattern recognition provided almost complete (91%) success in distinguishing the two patient groups. Complete discrimination was achieved when the covariates age, race, and sex were included pairwise with the four trace metals, Cu, Fe, Al, and Ni. The studies suggest that trace metals may play an important role in cardiovascular metabolism and the chemical pathology of myocardial infarction.
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