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Critical Care
Published in: Critical Care 1/2011

01-02-2011 | Commentary

Clinical correlates of arterial lactate levels in STEMI patients

Authors: Max Harry Weil, Wanchun Tang

Published in: Critical Care | Issue 1/2011

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Abstract

Increases in blood lactate reflect decreases in systemic blood flows associated with low blood flow states characteristic of circulatory shock. Accordingly, the report by Vermeulen and colleagues documents the use of the blood lactate measurement as a prognostic indicator in settings of ST elevation myocardial infarction. That lactate value therefore identified high-risk patients as a complication, often with clinical signs of cardiogenic shock of corresponding severities.
Literature
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Vermeulen RP, Hoekstra M, vd Horst ICC, van Pelt LJ, Jessurun GAJ, Jaarsma T, van den Heuvel AFM, Zilstra F: Clinical correlates of arterial lactate levels in patients with ST-segment elevation myocardial infarction at admission: a descriptive study. Crit Care. 2010, 14: R164-10.1186/cc9253.PubMedPubMedCentralCrossRef
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DeGeare VS, Boura JA, Grinnes LL, O'Neill WW, Grines CL: Predictive value of the Killip classification in patients undergoing primary percutaneous coronary intervention for acute myocardial infarction. Am J Cardiol. 2001, 87: 1035-1038. 10.1016/S0002-9149(01)01457-6.PubMedCrossRef
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Afifi AA, Chang PC, Liu VY, Da Luz P, Weil MH, Shubin H: Prognostic indexes in acute myocardial infarction complicated by shock. Am J Cardiol. 1974, 33: 826-832. 10.1016/0002-9149(74)90628-6.PubMedCrossRef
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Orringer CE, Eustace JC, Wunch CD, Gardner LB: Natural history of lactic acidosis after grand-mal seizures. A model for the study of an anion-gap acidosis not associated with hyperkalemia. N Engl J Med. 1977, 297: 796-799. 10.1056/NEJM197710132971502.PubMedCrossRef
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Huckabee WE: Abnormal resting blood lactate: I. The significance of hyperlactatemia in hospitalized patients. Am J Med. 1961, 30: 840-848. 10.1016/0002-9343(61)90171-1.PubMedCrossRef
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Metadata
Title
Clinical correlates of arterial lactate levels in STEMI patients
Authors
Max Harry Weil
Wanchun Tang
Publication date
01-02-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc9383

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