Analysis of the Patients with Elevated Creatinine Kinase (CK) Level at Emergency Department

Objective: The aim of this study was to analyse the clinical conditions and the causes of the CK elevation of the patients with elevated CK level at emergency department. Material and Method: This clinical study was conducted on a group of 118 patients admitted to emergency department with several clinical conditions and whose CK level is elevated, during six months between January and June. Claim of CK from patients was performed by the phsician who work at the Emergency Department and request of indication was not questioned. The age, gender, clinical conditions, history, drugs used and the exact diagnosis of the patients are gathered in a form previously prepared . Patients with high CK level was divided into 3 groups. Results were analysed stastistically. Results: Kreatin Kinaz elevation was found on % 66,1 (n=78) male patients, % 33,9 (n=40) female patients respectively. CK levels were between 203 and 6274. Mean CK level was 812,17±975,45 and median CK level was 417. According to the clinical findings, we have found that ; with a rate of 29,7 % chest pain was most commonly seen. According to the diagnosis; acute coronary syndromes (ACS) ( 24,6 %) was most commonly seen, fallowed by infections (16,1 %) and drugs (13,6 %). Accordig to the drugs the most common drugs which caused CK elevation was beta blokers, fallowed by statins and diuretics. Conclusion: Among the patients who admitted to the Emergency Department, CK height is mostly seen at cardiovasculer system disorders, and dependent of this, the chest pain is most commonly seen complaint in patients with elevated CK levels