Baum H H, Böhm M, Neumeier D
Institut für Klinische Chemie, Universität München, F.R.G.
Int J Cardiol. 1991 May;31(2):253-5. doi: 10.1016/0167-5273(91)90227-g.
When the immunoinhibition method is used for differentiation of isoenzymes of creatine kinase, the simultaneous occurrence of the MB isoenzyme and variants of macro creatine kinase may lead to misinterpretation in the diagnosis of acute myocardial infarction. We describe the case of an elderly woman in whom the MB isoenzyme and the type 1 variant of macro creatine kinase were found simultaneously in her serum after acute myocardial infarction. It proved possible to identify the MB isoenzyme rapidly using a fast enzymeimmunoassay.
当采用免疫抑制法进行肌酸激酶同工酶的鉴别时，肌酸激酶MB同工酶与巨肌酸激酶变异体同时出现可能会导致急性心肌梗死诊断出现误判。我们描述了一名老年女性的病例，她在急性心肌梗死后血清中同时发现了肌酸激酶MB同工酶和巨肌酸激酶1型变异体。结果证明，使用快速酶免疫测定法能够快速鉴定出肌酸激酶MB同工酶。
