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Plasma zinc after myocardial infarction
European Journal of Clinical Investigation
|June 1, 1978
Summary
Plasma zinc levels significantly drop within 48 hours of myocardial infarction, potentially indicating cardiac arrhythmia risk. Albumin levels also decrease, but the zinc drop is not solely due to albumin changes.
Area of Science:
- Cardiology
- Clinical Biochemistry
- Nutritional Science
Background:
- Myocardial infarction (MI) and ischemia can impact patient biochemistry.
- Diurnal variations in plasma levels are common in both healthy individuals and patients.
- Understanding biochemical changes post-MI is crucial for patient management.
Purpose of the Study:
- To investigate diurnal variations in plasma zinc and albumin levels in patients with myocardial infarction or ischemia.
- To determine the temporal relationship between plasma zinc/albumin levels and cardiac events.
- To assess if changes in plasma albumin explain the observed changes in plasma zinc.
Main Methods:
- Serial measurement of plasma zinc and albumin levels over eight consecutive days.
- Inclusion of control subjects for comparison.
- Monitoring patients experiencing chest pain due to myocardial infarction or ischemia.
Main Results:
- Both plasma zinc and albumin exhibit substantial diurnal variation in patients and controls.
- Plasma zinc levels decrease after myocardial infarction, reaching a nadir on day 2 and normalizing by day 8.
- Low plasma zinc levels within 48 hours of MI may predict serious cardiac arrhythmias; plasma albumin falls progressively, lowest on day 8.
Conclusions:
- Plasma zinc levels show a distinct early decrease following myocardial infarction, independent of albumin levels.
- The early drop in plasma zinc is a potential early marker for cardiac complications.
- Further research is needed to elucidate the mechanisms behind zinc level changes post-MI.
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