급성심근경색증 발병초기 혈청 지질변동과 그 의의 = Serial Changes of Serum Lipids and Its Significance in Early Phases of Acute Myocardial Infarction

다국어 초록 (Multilingual Abstract)

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다국어 초록 (Multilingual Abstract)

The Authors investigated the serial change of serum lipids in the early period of acute myocardial infarction and its relation to several clinical parameters. The level of serum total cholesterol was lowest in the period of 2 to 5days after an attack of acute myocardial infarction, especially on the fourth day and thereafter increased gradually until 2 to 3weeks of the observation period. On the other hand the serum triglyceride level was lowest in the first 2days, especially the first day, and thereafter increased gradually until 2 to 3weeks of the observation period. The extent of the cholesterol change was very small compared with that of the triglyceride. The level of change in the serum cholesterol was not related to the ejection fraction, the frequency of ventricular arrhythmia, Killip class or fatality rate. On the otherhand the level of change in the serum triglyceride had a significant adverse influence on the ejection fraction, the frequency of ventricular arrhythmia, Killip class and fatality rate, respectively. Thus it seems that the initial change of serum triglyceride is somewhat helpful in foreseeing the outcome of acute myocardial infarction.