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Robert F. Klein, MD; William G. Troyer, MD; Howard K. Thompson, MD; Morton D. Bogdonoff, MD; Andrew G. Wallace, MD

Arch Intern Med. 1968;122(6):476-482.

Abstract
Urinary excretion of norepinephrine and epinephrine was measured in 30 patients with myocardial infarction for five days after admission to a cardiac care unit. Patients with uncomplicated hospital courses or those with primary ventricular fibrillation or complete atrioventricular block showed a similar pattern, ie, high initial levels with a slope to normal range over the five-day period. Patients with multiple complications, particularly of a hemodynamic nature, showed lower initial levels and a different slope over the five-day period. Some instances of catechol elevation at time of psychological stress are presented.

Author Affiliations
Durham, NC

From the Department of Medicine, Duke University Medical Center, Durham, NC.

Footnotes
Received for publication June 25, 1968; accepted Aug 13.

Reprint requests to Duke University Medical Center, Durham, NC 27706 (Dr. Klein).

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