Macro CK in patients with elevated troponin I levels : case report

Autor: Geoffrey Omuse, Evelyne Mulwa, Ruchika Kohli-Kochhar, P. J. Ojwang
Rok vydání: 2012
Předmět:
Zdroj: Cardiovascular Journal of Africa. 23:e7-e10
ISSN: 1680-0745
1995-1892
DOI: 10.5830/cvja-2010-082
Popis: CK-MB activity levels can be falsely elevated by the presence of macro CK, especially if immune-inhibition assays are used in the measurement. In patients with macro CK and cardiac pathology that could result in an elevated CK-MB activity, the diagnostic challenge lies in determining the true cause of the elevated CK-MB activity. We present two case reports of patients with elevated CK-MB activity and troponin I levels, but who subsequently had CK-MB activity higher than total CK activity, raising the suspicion of the presence of macro CK.
Databáze: OpenAIRE