Medizinische Klinik

, Volume 92, Supplement 3, pp 26–28

Selensubstitution bei akutem Myokrdinfarkt

  • Rosemarie Thiele
  • Daniels Wagner
  • Margitta Gassel
  • Klaus Winnefeld
  • Jens Pleißner
  • Rüdiger Pfeifer
Article

DOI: 10.1007/BF03041957

Cite this article as:
Thiele, R., Wagner, D., Gassel, M. et al. Med Klin (1997) 92(Suppl 3): 26. doi:10.1007/BF03041957

Substitution of selenium in acute myocardial infarction

Summary

Background: Previous examinations have demonstrated decreased selenium levels in serum and full blood in patients with myocardial infarction.

Patients and Method: 28 patients received a selenium treatment additional to the usual treatment of myocardial infarction. 19 patients with myocardial infarction with no supplementary selenium treatment served as a control group. Selenium levels in serum, full blood and urine were measured and the complications of the myocardial infarction documanted.

Results: There was a significant increase of serum and full blood selenium and glutathione peroxidase levels under i. v. selenium therapy in the acute phase of myocardial infarction (first to third day). Left heart failure more rarely occured in the selenium group (20%) than in control patients (57%). Acute tachycardial cardiac rhythm disturbances such as ventricular extrasystoles and couplets diminished in both groups; ventricular extrasystoles decreased in the selenium group.

Conclusions: Selen should be substituted in patients with acute myocardial infarction and decreased selen levels. It would be useful to carry out a prospective double-blind study.

Key Words

Acute myocardial infarctionSerum selenium levelsSelenium substitutionComplications of myocardial infarction

Copyright information

© Urban & Vogel 1997

Authors and Affiliations

  • Rosemarie Thiele
    • 1
  • Daniels Wagner
    • 1
  • Margitta Gassel
    • 1
  • Klaus Winnefeld
    • 2
  • Jens Pleißner
    • 1
  • Rüdiger Pfeifer
    • 1
  1. 1.Funktionsbereich Internistische Intensivtherapie der Klinik für Innere Medizin IIIKlinikum der UniversitätJena
  2. 2.Institut für Klinische Chemie und Laboratoriumsdiagnostik des Klinikums der Friedrich-Schiller-Universität JenaGermany