Quantitative determination of creatin kinase MB (CK-MB) in human serum .
PRINCIPLE OF THE METOD
The procedure involves measurement of CK activity in the presence of an antibody to CKM monomer. This antibody completely inhibits the activity of CK-MM and half of the activity of CK-MB while not affecting the B subunit activity of CK-MB and CK-BB. Then it’s used the CK method to quantitatively determine CK-B activity. The CK-MB activity is obtained by multiplying the CK-B activity by two.
CLINICAL SIGNIFICANCE
CK-MB is an enzyme formed by the association of two subunits from muscle (M) and nerve cells (B). CK-MB is usually present in serum at low concentration; it is increased after an acute infarct of myocardium and later descends at normal levels. Also is increased, rarely, in skeletal muscle damage.Clinical diagnosis should not be made on a single test result; it should integrate clinical and other laboratory data
REAGENT PREPARATION
Reagents are supplied in a two vial, ready to use, liquid form.
For some analyzers, the reagents can be combined to make a working solution by mixing 4 part of Reagent 1 with 1 part of Reagent 2 (e.g., 20mL R1 + 5mL R2).
Precautions: Reagent 1 and Reagent 2: H360d May damage fertility or the unborn child P308+313 If exposed or concerned:get medical advice /attention
REAGENT DETERIORATION
Do not use the reagent if:
the reagent blank absorbance < 0,300 at 340 nm against water.
ADDITIONAL EQUIPMENT REQUIRED BUT NOT PROVIDED
1. A clinical chemistry analyzer capable maintaining constant temperature 37°C, and measuring absorbance at 340nm.
2. Deionized water and related equipment, e.g.: pipettes