0
ARTICLE |

Peripheral Source of MB Band of Creatine Kinase in Alcoholic Rhabdomyolysis: Title and subTitle BreakNonspecificity of MB Isoenzyme for Myocardial Injury in Undiluted Serum Samples FREE

Arthur J. Siegel, MD; David M. Dawson, MD
[+] Author Affiliations

Reprint requests to Division of General Medicine, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr Siegel).


JAMA. 1980;244(6):580-582. doi:10.1001/jama.1980.03310060036019
Text Size: A A A
Published online

The MB isoenzyme of creatine kinase (CK MB) was strongly positive in the serum of a patient with alcoholic rhabdomyolysis, and it remained detectable by a standard qualitative assay over a two-year period without clinical or laboratory evidence of myocardial disease. MB isoenzyme was also demonstrated in a homogenate of skeletal muscle. Isoenzyme determinations in serum and tissue were repeated after dilution of total CK activity to the range optimal for the assay (300 IU/L). Such dilution before isoenzyme separation rendered these samples negative for CK MB. The MB isoenzyme may be detectable in serum from peripheral sources in the presence of high total CK concentrations.

(JAMA 244:580-582, 1980)

REFERENCES

Roberts R, Sobel BE:  Isoenzymes of creatine phosphokinase and diagnosis of myocardial infarction . Ann Intern Med 79:741-742, 1973;.
Roberts R, Sobel BE:  Elevated plasma MB creatine phosphokinase activity: A specific marker for myocardial infarction in pre-operative patients . Arch Intern Med 136:421-424, 1976;.
Roberts R, Sobel BE:  Creatine kinase isoenzymes in the assessment of heart disease . Am Heart J 95:521-528, 1978;.
Somer H, Donner M, Murros J, et al:  A serum isoenzyme study in muscular dystrophy . Arch Neurol 29:343-345, 1973;.
Brownlow K, Elevitch FR:  Serum creatine phosphokinase isoenzyme (CPK2,) in myositis: A report of six cases . JAMA 230:1141-1144, 1974;.
Russel SM, Bleiweiss S, Brownlow K, et al:  Ischemic rhabdomyolysis and creatine phosphokinase isoenzymes: A diagnostic pitfall . JAMA 235:632-633, 1976;.
Dawson DM, Fine IH:  Creatine kinase in human tissues . Arch Neurol 16:175-180, 1967;.
Wong PC-P, Smith AF:  Comparison of three methods of analysis of the MB isoenzyme of creatine kinase in serum . Clin Chim Acta 65:99-107, 1975;.
Farrington C, Chalmers AH:  The effect of dilution on creatine kinase activity . Clin Chim Acta 73:217-219, 1976;.
Mercer DW, Varat MA:  Detection of cardiac-specific creatine kinase isoenzyme in sera with normal or slightly increased total creatine kinase activity . Clin Chem 21:1088-1092, 1975;.
Myerson RM, Lafair JS:  Alcoholic muscle disease . Med Clin North Am 54:723-730, 1970;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Roberts R, Sobel BE:  Isoenzymes of creatine phosphokinase and diagnosis of myocardial infarction . Ann Intern Med 79:741-742, 1973;.
Roberts R, Sobel BE:  Elevated plasma MB creatine phosphokinase activity: A specific marker for myocardial infarction in pre-operative patients . Arch Intern Med 136:421-424, 1976;.
Roberts R, Sobel BE:  Creatine kinase isoenzymes in the assessment of heart disease . Am Heart J 95:521-528, 1978;.
Somer H, Donner M, Murros J, et al:  A serum isoenzyme study in muscular dystrophy . Arch Neurol 29:343-345, 1973;.
Brownlow K, Elevitch FR:  Serum creatine phosphokinase isoenzyme (CPK2,) in myositis: A report of six cases . JAMA 230:1141-1144, 1974;.
Russel SM, Bleiweiss S, Brownlow K, et al:  Ischemic rhabdomyolysis and creatine phosphokinase isoenzymes: A diagnostic pitfall . JAMA 235:632-633, 1976;.
Dawson DM, Fine IH:  Creatine kinase in human tissues . Arch Neurol 16:175-180, 1967;.
Wong PC-P, Smith AF:  Comparison of three methods of analysis of the MB isoenzyme of creatine kinase in serum . Clin Chim Acta 65:99-107, 1975;.
Farrington C, Chalmers AH:  The effect of dilution on creatine kinase activity . Clin Chim Acta 73:217-219, 1976;.
Mercer DW, Varat MA:  Detection of cardiac-specific creatine kinase isoenzyme in sera with normal or slightly increased total creatine kinase activity . Clin Chem 21:1088-1092, 1975;.
Myerson RM, Lafair JS:  Alcoholic muscle disease . Med Clin North Am 54:723-730, 1970;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.