Abstract
The enzymatic response to contrast media after coronary angiography was observed in 24 patients. The enzymes studied were glutamic oxaloacetic transaminase (SGOT), glutamic pyruvic transaminase (SGPT), lactic dehydrogenase (LDH), α-hydroxybutyrate dehydrogenase (α-HBDH), γ-glutamyl transferase (γ-GT), creatine phosphokinase (CPK), and the myocardial-specific isoenzyme of CPK (CK-MB). Angiography produced no significant elevations in SGOT, SGPT, α-HBDH, LDH, or CK-MB activities; γ-GT increased up to the twelfth hour. High levels of CPK and CK-MB observed in one patient were found to be products of a thymus carcinoma. In vitro examinations also showed that concentrations of contrast media used in coronary angiography do not inhibit γ-GT, LDH, and CPK activities.
Similar content being viewed by others
References
Taquini, A.C., Plesch, S.A., Badano, B.N., de Winckler, E.O.B.: Das Verhalten des c-reaktiven Proteins und der Serum-Transaminase nach der Herzkatherisierung. Z. Kreislaufforsch. 50: 1178–1186, 1961
Adrouny, Z.A., Stephenson, M.J., Straube, K.R., Dotter, C.T., Griswold, H.E.: Effect of cardiac catheterization and angiography on the serum glutamic oxalacetic transaminase. Circulation 27: 565–570, 1963
Sitzmann, F.G., Gutheil, H.: Serumenzymaktivität vor und nach der Katheteruntersuchung bei Kindern. Z. Kreislaufforsch. 55: 1218–1224, 1966
Marpole, D., Judkins, M., Kloster, F., Marquardt, V., Griswold, H.: Elevated serum enzymes following coronary angiography (abstract) Circulation 37/38, Suppl. VI: 134, 1968
Rettig, G., Keller, H.E., Schieffer, H., Hoffmann, W., Bette, L.: Einfluß von Herzkatheteruntersuchung und Angiokardiographie auf die Enzymaktivitäten im Serum. Münch. med. Wschr. 118: 997–1000, 1976
Chahine, R.A., Eber, L.M., Kattus, A.A.: Interpretation of the serum enzyme changes following cardiac catheterization and coronary angiography. Am. Heart. J. 87: 170–174, 1974
Hori, M., Inoue, M., Fukui, S., Furukawa, F., Abe, H., Minamino, T., Ohgitani, N.: Significance of serum enzyme changes after cardiac catheterization and selective coronary arteriography. Br Heart J. 38: 97–103, 1976
DeBakey, M.E., Diethrich, E.B., Liddicoat, J.E., Garret, H.E.: Exhibition, Baylor College of Medicine, Texas Medical Center, Houston, 1968
Judkins, M.P.: Selective coronary angiography: A percutaneous transfemoral technic. Radiology 89: 815–824, 1967
Recommendations of the German Society for Clinical Chemistry: Standardisation of methods for the estimation of enzyme activity in biological fluids. Z klin Chem. klin. Biochem. 8: 659–660, 1970
Burckhardt, D., Vera, C.A., La Due, J.S., Steinberg, J.: Enzyme activity following angiography. Am. J. Roentgenol. 102: 446–450, 1974
Davidson, A.J., Becker, J., Rothfield, N., Unger, G., Ploch, R.: An evaluation of the effect of high-dose urography on previously impaired renal and hepatic function in man. Radiology 97: 249–254, 1970
Prellwitz, W., Neumeier, D., Kredel, M., Lang, H., Würzburg, U., Schönborn, H., Schuster, H.P.: Isoenzyme der Kreatinkinase bei extrakardialen Erkrankungen und nach diagnostischen und therapeutischen Eingriffen. Dtsch. med. Wschr. 101: 983–998, 1976
Maurer, H.J., Ødegaard, J.: Verhalten der Kreatinphosphokinase (CPK) bei Angiographien unter besonderer Berücksichtigung gleichzeitiger Narkose. Fortsch. Rontgenstr. 120: 594–602, 1974
Prellwitz, W., Neumeier, D.: Such- und Schnellteste bei Herzerkrankungen und Kreislaufschock. Internist (Berlin) 17: 436–443, 1976
Galen, R.S.: The enzyme diagnosis of myocardial infarction Hum. Pathol. 6: 141–155, 1975
Jockers-Wretou, E., Pfleiderer, G.: Quantitation of creatine kinase enzymes in human tissues and sera by an immunological method. Clin. Chim. Acta 58: 223–232, 1975
Koromano, N., Harkonen, N.: Inhibition of human blood cholinesterase activity by some contrast media. Invest. Radiol. 8: 68–71, 1973
Lang, J., Lasser, E.C.: Inhibition of adenosine triphosphatase and carbonic anhydrase by contrast media. Invest Radiol. 10: 314–316, 1975
Lasser, E.C., Lang, J.H.: Physiologic significance of contrast protein interactions. I: Study in vitro of some enzyme effects. Invest. Radiol. 5: 514–517, 1970
Talner, L.B., Rushmer, H.N., Coel, M.N.: The effect of renal artery injection of contrast material on urinary enzyme excretion. Invest. Radiol. 7: 311–322, 1972
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Weikl, A., Hubmann, M., Durst, O.E. et al. Enzyme changes after coronary angiography. Cardiovasc Radiol 1, 153–156 (1978). https://doi.org/10.1007/BF02552026
Issue Date:
DOI: https://doi.org/10.1007/BF02552026