Diagnostic value of the creatine kinase-MB/creatine kinase and neutrophil/lymphocyte ratios in acute myocardial infarction.

OBJECTIVE: To investigate the clinical significance of the creatine kinase (CK)-MB/total CK ratio, neutrophil/lymphocyte ratio (NLR) and red blood cell distribution width in acute myocardial infarction (AMI). METHODS: A retrospective analysis was conducted of 196 AMI cases from our hospital's cardiology department; healthy people were selected over the same period as the control. The two groups' test indexes were compared through multivariate logistic regression analysis to screen for AMI risk factors; the receiver operating characteristic (ROC) curve was used to evaluate their AMI predictive values. RESULTS: The serum CK, CK-MB, CK index, neutrophils and NLR values in the AMI group were significantly higher compared with those in the control group (p < 0.05); however, the levels of serum lymphocytes were significantly lower compared with those in the control group (p < 0.05). Multivariate logistic regression analysis showed that elevated CK-MB and NLR levels were risk factors for AMI (p < 0.05). The ROC curve showed that the area under the curve of the NLR and CK levels were 0.917 and 0.594, respectively. CONCLUSION: The CK index and NLR have a clinical predicting value for AMI and could be used as a clinical auxiliary diagnostic index for the assessment of patients with AMI.

STUDIES ON EXERCISE-INDUCED STRESS IN GROWING STATE / 体力科学

This study was performed to investigate the exercise-induced stress in growing state in order to prevent the death during or after exercise. Thirty eight male and female subjects in junior high school were administered 5 minutes running test for 3 succesive years. Heart rate, blood pressure, electrocardiogram, and blood biochemical components were measured before and after 5 minutes running test. Prior to 5 minutes running test the investigation of the number of food intake and total steps a day were performed. The results obtained were as follows;<BR>1) After 5 minutes running test, the subjects who had larger increment in CK-MB/ CK ratio walked fewer steps a day and had fewer number of food intake. And they had more drinks, especially juices.<BR>2) In female subjects an excess of body fat was not a risk factor, but not in male subjects.<BR>3) The subjects, who had larger increment in body fat than in body weight, tended to become higher levels in blood pressure and heart rate in resting than others.<BR>4) The subjects, who walked more longer in 2 nd grade than 1 st grade in junior high school, tended to decrease the increment of heart rate before to immediately after 5 minutes running test.<BR>5) Blood biochemical components were normal even if electrocardiogram was abnormal.<BR>6) At 24 hours after 5 minutes running test, CK-MB/CK ratio and serum lipoperoxide levels increased and serum protein and albumin levels defreased in 3 rd grade in junior high school.<BR>Consequently in order to prevent the death during or after exercise the investigation of food intake, total steps a day, and body fat must be administered before exercise sufficiently. And then electrocardiogram and blood biochemical components, especially CK-MB activity must be checked before, during, and after exercise testing.