[Progress in the differential diagnosis of myocardial infarction by determining isoenzyme CK-MB with inhibitory antibodies (author's transl)]

Dtsch Med Wochenschr. 1977 Sep 16;102(37):1309-14. doi: 10.1055/s-0028-1105498.
[Article in German]

Abstract

Sensitivity and value of the quantitative measurement of the isoenzyme creatine kinase-MB by means inhibitory antibodies were studied in a number of experiments. The results indicate that concentrations of more than 3 U/1 are abnormal: they were found only in patients with myocardial cell damage but not after intramuscular injection or physical exercise. Determining CK-MB apparently offers a better way of assessing low or moderate increases of total CK activity than, e.g., the CK/GOT ratio. The method should therefore be introduced into clinical diagnosis. But the question of whether CK-MB measurement can differentiate between myocardial infarction and reversible myocardial cell damage remains unanswered: it is not 100% specific for myocardial infarction.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies
  • Clinical Enzyme Tests
  • Creatine Kinase / blood*
  • Female
  • Humans
  • Injections, Intramuscular
  • Isoenzymes / blood*
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / enzymology
  • Myocardium / enzymology
  • Physical Exertion

Substances

  • Antibodies
  • Isoenzymes
  • Creatine Kinase