Five creatine kinase isoenzymes in serum of a patient with severe heart disease.

Abstract:

:Abnormal creatine kinase (CK) isoenzyme patterns were observed in the serum of a 64-year-old woman with severe heart disease. Agarose electrophoresis revealed the presence of all the usual CK isoenzymes (MM, MB, and BB) plus an extra band between MM and MB. Total serum CK activity was within the normal range. Within 2 h after the patient suffered cardiorespiratory arrest, a fifth CK isoenzyme appeared, cathodal to MM. After cardiac valve replacement, the patient's serum showed a high activity of CK, but the isoenzyme pattern showed only MM and, transiently, an MB band. With return of the serum CK activity to normal, the CK isoenzymes pattern also became normal, virtually ruling out genetic variant(s). The abnormal CK isoenzyme patterns might have been the consequence of severe hypoxemia in the patient, thus such patients may represent an ominous prognostic sign. The association of the abnormal pattern upon admission with rapid deterioration of the condition of the patient suggests prompt attention for the prevention of complications.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Csako G,Papadopoulos NM,Jett GK,McIntosh CL

subject

Has Abstract

pub_date

1982-10-01 00:00:00

pages

2170-2

issue

10

eissn

0009-9147

issn

1530-8561

journal_volume

28

pub_type

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