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Clinical Chemistry, Vol 21, 1088-1092, Copyright © 1975 by the American Association for Clinical Chemistry
1 Departments of Pathology and Medicine, Montefiore Hospital
and University of Pittsburgh School of Medicine, Pittsburgh, Pa.
15213.
We describe a spectrophotometric kinetic assay for detecting creatine kinase MB isoenzyme activity in the 1 to 10 U/liter range. The MB isoenzyme was isolated [Clin. Chem. 20, 36 (1974)] and assayed (Rosalki method) with an Abbott ABA-100. Good reproducibility was demonstrated for MB isoenzyme activities near 1 U/liter (CV = 2.6%). Sera with normal or slightly increased total creatine kinase activity were evaluated. Sera of 14 patients with acute myocardial infarction contained, per liter, 84 to 236 U of total creatine kinase activity and 4.6 to 28.0 U of isoenzyme MB activity; corresponding ranges for sera from healthy lab technicians and patients with noncardiac disease were 36 to 277 and 0 to 2.6 U. MB isoenzyme activity for infarction patients rose and fell sharply within three days after the infarction. Atypical time-course patterns, MB isoenzyme activity remaining abnormally great for five days, were observed in serum from patients with prolonged atrial fibrillation and congestive heart failure or cardiomyopathy; the BB isoenzyme (1 to 5 U/liter) was also detected in sera of such patients but was absent in sera from infarction patients. Quantification of column-isolated MB by the assay described is rapid, easy, specific, and extremely sensitive for measuring MB in the 1 to 10 U/liter range.
Submitted on February 28, 1975
Accepted on April 17, 1975
The following articles in journals at HighWire Press have cited this article:
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R. Rej They Use Enzymes for Everything! Clin. Chem., June 1, 1998; 44(6): 1149 - 1153. [Full Text] [PDF]
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