Unstable angina and role of cardiac myoglobin in management and prognosis

ABSTRACT

To assess the role of Cardiac M [Myoglobin] in prognosis and management of unstable angina. Study Design: Study of 528 cases admitted in Coronary Care Unit of Bahawal Victoria Hospital affiliated with Quaid-e-Azam Medical College Bahawalpur, during a period of 3 years [April 1999 to March, 2002]. Cardiac M detects minor cell necrosis in about 40% to 60% cases of unstable angina, Cardiac M performed in 528 patients. It was positive in 336 cases and was negative in 192 cases. 136 [52.3%] patients developed complication in those with positive test and only 19% developed complications in nagative patients. The procedure of Cardiac M is mush easier, economical more effective and almost confirmatory in the diagnosis of unstable angina. It can be used at bed side, and costs half the price of cardiac enzymes