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· .. but an ECG is still better ... In reply: Single enzyme measurements are rarely useful in the diagnosis of myocardial infarction. Serial samples are better but are time consuming and diagnosis may not be possible until 12 hours after admission, which delays the initiation of thrombolytic therapy. An ECG often permits a clear diagnosis; non diagnosis may occur and another test may be required but the assessment of logarithmic creatine kinase levels has not been adequately evaluated. Timmis AD. Early diagnosis of acute myocardial infarction. British Medical Journal 301: 1214,24 Nov 1990 [Summari sed from a letter to the Editor) ' '' .U 18 8 Dec 1990 INPHARMA @ ISSN 0156-2703/ 90/ 1108-0018/ 0$01.00/ 0 © Adis International Ltd

… but an ECG is still better …

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Page 1: … but an ECG is still better …

· .. but an ECG is still better ... In reply: Single enzyme measurements are

rarely useful in the diagnosis of myocardial infarction. Serial samples are better but are time consuming and diagnosis may not be possible until 12 hours after admission, which delays the initiation of thrombolytic therapy. An ECG often permits a clear diagnosis; non diagnosis may occur and another test may be required but the assessment of logarithmic creatine kinase levels has not been adequately evaluated. Timmis AD. Early diagnosis of acute myocardial infarction. British Medical Journal 301: 1214,24 Nov 1990 [Summarised from a letter to the Editor) ' ''.U

18 8 Dec 1990 INPHARMA@ ISSN 0156-2703/ 90/ 1108-0018/ 0$01.00/ 0 © Adis International Ltd