Determination of serum creatine kinase isoenzymes in myocardial infarction

1972 ◽  
Vol 29 (6) ◽  
pp. 817-820 ◽  
Author(s):  
Aarne Konttinen ◽  
Hannu Somer
Keyword(s):  
Myocardial Infarction ◽  
Creatine Kinase ◽  
Serum Creatine Kinase ◽  
Creatine Kinase Isoenzymes

Usefulness of serial determinations of myoglobin and creatine kinase in serum compared for assessment of acute myocardial infarction.

1983 ◽  
Vol 29 (3) ◽  
pp. 469-473 ◽  
Author(s):  
J A Cairns ◽  
E Missirlis ◽  
W H Walker
Keyword(s):  
Myocardial Infarction ◽  
Creatine Kinase ◽  
Total Duration ◽  
Serum Creatine Kinase ◽  
Normal Mean ◽  
Serial Blood Sampling ◽  
The Mean ◽  
Mean Time ◽  
First Myocardial Infarction

Abstract Twenty-one patients with their first myocardial infarction underwent serial blood sampling every 2 h for determination of serum creatine kinase (CK) and myoglobin during the first 48-72 h after onset of pain. The first blood sample, obtained at a mean time of 4.4 h after infarct onset, invariably showed increased myoglobin (mean, 8.3-fold normal), whereas CK was often normal (mean, 1.6-fold normal). Peak myoglobin values occurred earlier than peak CK values (9.9 h vs 21.6 h, p less than 0.0005), but there was a significant correlation of peak values (myoglobin = 0.384CK - 0.264, r = 0.794, p less than 0.0005). The mean exponential disappearance rate (Kd) of CK was 0.00106 min-1 and of myoglobin was 0.00265 min-1 (p less than 0.0005). The disappearance of myoglobin was well described by a mono-exponential expression except in two patients. The total duration of the increase in myoglobin was significantly less than that of CK (34.7 h vs 74.4 h, p less than 0.0005).

Chromatographic and Electrophoretic Separation of Creatine Kinase Isoenzymes Compared

1975 ◽  
Vol 21 (11) ◽  
pp. 1601-1604 ◽  
Author(s):  
Gifford Lum ◽  
Arthur L Levy
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Creatine Kinase ◽  
Continuous Flow ◽  
Serum Creatine Kinase ◽  
Electrophoretic Separation ◽  
Creatine Kinase Isoenzymes ◽  
Agarose Electrophoresis ◽  
Clinically Significant

Abstract We compared two techniques for separating and evaluating serum creatine kinase isoenzymes—fluorometric agarose electrophoresis and Sephadex chromatography—in 50 patients, 25 of whom had confirmed acute myocardial infarction. In every case isoenzyme MB (heart isoenzyme) was detected with equal sensitivity by either procedure. Evidently, only the presence or absence of MB is clinically significant; none of the 25 patients without infarction had detectable MB activity in their serum. Columns connected to a continuous-flow sample line for analyses of the eluting stream without further modification produced satisfactory results

ASSOCIATION OF SERUM LACTATE LEVELS WITH CREATINE KINASE – MB AND LACTATE DEHYDROGENASE IN PATIENTS WITH MYOCARDIAL INFARCTION

2021 ◽  
pp. 73-75
Author(s):  
Mallaiyan Manonmani ◽  
Meiyappan Kavitha
Keyword(s):  
Myocardial Infarction ◽  
Creatine Kinase ◽  
Lactate Dehydrogenase ◽  
Serum Lactate ◽  
Serum Creatine Kinase ◽  
Hemodynamic Management ◽  
Diagnosis And Prognosis ◽  
Creatine Kinase Mb ◽  
Enzymatic Markers ◽  
Lactate Levels

Objectives: Myocardial infarction is the most common form of coronary heart disease, the commonest cause of worldwide mortality. The present biochemical markers take atleast 6 hours for elevation following an episode of myocardial infarction. There is a need for sensitive marker for early diagnosis and prognosis. Lactate, the end product of anaerobic glycolysis is found to be elevated in many critical illnesses. Thus the study was undertaken to assess the levels of serum lactate in patients with myocardial infarction and to correlate it with the frequently used enzymatic markers for the diagnosis of myocardial infarction, i.e creatine kinase – MB and lactate dehydrogenase Methods: Fifty age and sex matched controls and fty cases of myocardial infarction were included in the study. Serum creatine kinase – MB, lactate dehydrogenase and lactate were estimated in these subjects. Results:The serum lactate levels were signicantly higher among cases when compared to controls. The serum lactate levels positively correlated with serum creatine kinase – MB among cases but not with lactate dehydrogenase. Conclusions: We conclude that serum lactate is altered in patients with myocardial infarction and may be considered as a prognostic risk factor in these patients. Further studies are needed to nd the cut-off value of serum lactate for assistance in the hemodynamic management of these patients.

Analyses of creatine kinase isoenzymes and isoforms in serum to detect reperfusion after acute myocardial infarction.

1987 ◽  
Vol 33 (4) ◽  
pp. 507-511 ◽  
Author(s):  
F S Apple ◽  
S W Sharkey ◽  
M Werdick ◽  
K J Elsperger ◽  
R T Tilbury
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Creatine Kinase ◽  
Clearance Rates ◽  
Creatine Kinase Isoenzymes

Abstract Isoenzymes and isoforms of creatine kinase (CK, EC 2.7.3.2) were measured to assess reperfusion after acute myocardial infarction (AMI). In streptokinase-treated and in spontaneously reperfused AMI patients, total CK, CK-2 activity and concentration, and CK-3(3) isoform activity peaked significantly (p less than 0.05) earlier than conventionally treated, non-reperfused patients. The ratio for CK-3(3) to CK-3(1) activities peaked significantly (p less than 0.05) earlier in both the streptokinase-treated and spontaneously reperfused groups, and indicated a greater release of enzyme (higher ratio) than in the conventionally treated patients. The ratio of CK-3(3)/3(1) also peaked significantly (p less than 0.05) earlier in all three groups than did total CK, CK-2, and CK-3(3) activities or concentrations. The clearance rates of total CK, CK-2, and CK-3(3) were not significantly different in all three groups. Thus, the ratio CK-3(3)/3(1) was the earliest indicator of infarction in both reperfused and non-reperfused patients.

Improved separation of creatine kinase isoenzymes by use of DEAE-Sepharose Cl-6B.

1980 ◽  
Vol 26 (5) ◽  
pp. 618-624 ◽  
Author(s):  
R J Bondar ◽  
D G Shevchik ◽  
M Y Hsu ◽  
M M Kohler
Keyword(s):  
Creatine Kinase ◽  
Reference Interval ◽  
Serum Creatine Kinase ◽  
Cross Contamination ◽  
Column System ◽  
Bed Height ◽  
Creatine Kinase Isoenzymes ◽  
Sepharose Column ◽  
Coefficients Of Variation ◽  
Chromatographic Procedure

Abstract We describe here a simple, rapid chromatographic procedure for quantitatively separating serum creatine kinase isoenzymes (EC 2.7.3.2), with diethylaminoethyl (DEAE)-Sepharose CL-6B as the anion-exchanger. We established the column bed height and the elution parameters by use of a simplex procedure. DEAE-Sepharose CL-6B equilibrated in tris(hydroxymethyl)aminomethane (50 mmol/L, pH 7.5, and containing 30 mmol of NaCl per liter) is packed into a miniature polystyrene column with bed dimensions of 0.7 x 1.5 cm. The DEAE-Sepharose column system was evaluated and compared with a DEAE-Sephadex A-50 column system. The results indicate that the Sepharose column yields MM, MB, and BB isoenzymes uniquely, without cross contamination. Coefficients of variation (CV’s) for 10 replicate column assays were 2.8, 5.9, and 15.2% for 569 U of MM per liter, 82.3 U of MB per liter, and 9.0 U of BB per liter, respectively. The serum sample was enriched with baboon heart extract. Day-to-day reproducibility for a serum control assayed on 10 days yielded CV’s of 4.6, 9.9, and 40.3% for 391, 45.3 and 1.9 U of isoenzymes MM, MB, and BB per liter, respectively. A reference interval for each isoenzymes was derived from data on 81 men and 63 women.

Further heterogeneity demonstrated for serum creatine kinase isoenzyme MM.

1980 ◽  
Vol 26 (3) ◽  
pp. 457-462 ◽  
Author(s):  
J P Chapelle ◽  
C Heusghem
Keyword(s):  
Myocardial Infarction ◽  
Creatine Kinase ◽  
Electrophoretic Pattern ◽  
Coronary Bypass ◽  
Blood Stream ◽  
Creatine Kinase Activity ◽  
Serum Creatine Kinase ◽  
Major Band ◽  
Normal Human ◽  
Total Creatine

Abstract Serum creatine kinase (EC 2.1.3.2) isoenzyme MM was resolved by isoelectric focusing into a five-band pattern, a pattern that gradually changed after the onset of myocardial infarction. Similar changes were also demonstrated in patients undergoing coronary-bypass surgery. The evolution of two CK-MB sub-bands was studied in both cases. We found that three electrophoretic bands (CK-MM, pI 7.10; MM1, pI 6.88; MB1, pI 5.61) were predominant in patterns for sera collected during the early phase of myocardial infarction, but rapidly disappeared during the following hours, whereas bands of increased electrophoretic mobility (MM2, pI 6.70; MM3, pI 6.45; MM4, pI 6.25; MB2, pI 5.34) gradually increased. MM3 was always the major band at the end of the observation period in acute myocardial infarction (mean, 61.4% of total creatine kinase activity 36 h after the peak value for total creatine kinase in serum). The CK-MM bands were also present in the serum of patients without heart disease. Changes in the electrophoretic pattern were induced by a thermolabile factor in normal human serum, which transformed the muscular or myocardial MM and MM1 bands after their release into the blood stream.

Clinical evaluation of an immunoinhibition procedure for creatine kinase-MB.

1980 ◽  
Vol 26 (1) ◽  
pp. 150-152
Author(s):  
D Obzansky ◽  
J A Lott
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Creatine Kinase ◽  
Sensitivity And Specificity ◽  
Clinical Evaluation ◽  
Creatine Kinase Isoenzyme ◽  
Creatine Kinase Mb ◽  
Diagnostic Sensitivity And Specificity ◽  
Creatine Kinase Isoenzyme Mb

Abstract We have clinically evaluated the Dade "Cardiozyme" immunoinhibition procedure for determination of creatine kinase isoenzyme MB (CK-MG) in 71 patients who were suspected of having had an acute myocardial infarction. Electrophoresis for CK-MB was also carried out. On the basis of diagnostic sensitivity and specificity for myocardial infarction, we found the Dade procedure for CK-MB to be somewhat inferior to electrophoresis. In 11 patients for whom the time of infarction was known, we observed normal CK-MB results for two of them by both immunoinhibition and electrophoresis during the first 24 h, but subsequently could detect abnormal CK-MB results by both methods. Thus in some patients such data are not helpful for making a diagnosis in the first 24 h. The Dade procedure is easy to perform, but lacks sensitivity in the region of low CK-MB activity, requires a very stable spectrophotometer, is imprecise, and produces negative numerical results in patients without myocardial infarction.

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