Document Detail


Creatine kinase and its CK-MB isoenzyme: the conventional marker for the diagnosis of acute myocardial infarction.
MedLine Citation:
PMID:  9950395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Biochemical markers are commonly used for detection, diagnosis, and management of various diseases. Creatine kinase (CK) is an enzyme found in most tissues, and is the best known marker for the identification of acute myocardial infarction (AMI). We review the most common techniques used to quantify creatine kinase and its cardiac specific fraction, CK-MB. Electrophoresis, immunoinhibition, monoclonal immunoassay, and CK-MB isoform assays are considered for efficacy, sensitivity and specificity, and timeliness in the setting of acute non-traumatic chest pain. Limitations of the various techniques for identifying AMI are identified. Current recommendations for CK-MB panels, including combinations with other cardiac markers, are included.
Authors:
D J Robinson; R H Christenson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  17     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1999 Jan-Feb
Date Detail:
Created Date:  1999-04-13     Completed Date:  1999-04-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  95-104     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Maryland School of Medicine, Baltimore 21201, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Chest Pain / diagnosis,  etiology
Clinical Enzyme Tests*
Creatine Kinase / blood*
Electrophoresis
Humans
Isoenzymes
Myocardial Infarction / diagnosis*
Sensitivity and Specificity
Tissue Distribution
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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