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July 1, 1986Circulation

Diagnostic changes in plasma creatine kinase isoforms early after the onset of acute myocardial infarction.

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Why the study?

Does the ratio of plasma MMA to MMC creatine kinase isoforms allow for early diagnosis of acute myocardial infarction compared to controls?

Population

61 subjects, comprising 28 patients with acute myocardial infarction, 7 control patients with coronary…

Comparison

Analysis of relative activities of MM creatine… vs Normal control subjects and control patients…

Design

Cross-sectional

Authors

Allan S. JaffeAllan S. JaffeCardiac ImagingHSHarvey SerotaClinical Trial InvestigatorsVGV. M. Berlin GraceKarunya University

Discussion

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Implication

Elevated MMA/MMC ratio may support early MI detection; leaves open prospective validation before clinical adoption.

Structured PICO

Does the ratio of plasma MMA to MMC creatine kinase isoforms allow for early diagnosis of acute myocardial infarction compared to controls?

P
Population
61 subjects, comprising 28 patients with acute myocardial infarction, 7 control patients with coronary artery disease (angina), and 26 normal control subjects.
I
Intervention
Analysis of relative activities of MM creatine kinase (CK) isoforms in plasma, specifically the ratio of MMA to MMC.
C
Comparator
Normal control subjects and control patients with coronary artery disease (angina).
O
Outcome
Ratio of MMA to MMC in the first available plasma sample.surrogate

The ratio of MMA to MMC isoforms of creatine kinase is significantly elevated within hours of acute myocardial infarction onset, offering a potential early diagnostic marker.

Cite This Study

Jaffe et al. (1986) studied this question.

synapsesocial.com/papers/6a71aaa375498292b70b12cchttps://doi.org/10.1161/01.cir.74.1.105
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Creatine kinase MM isoenzyme subforms in myocardium, cardiac lymph and blood after coronary artery occlusion in dogs1984 · 18 citations
  2. 2Acute myocardial infarction and MB creatine phosphokinase. Relationship between onset of symptoms of infarction and appearance and disappearance of enzyme1980 · 76 citations
  3. 3Further heterogeneity demonstrated for serum creatine kinase isoenzyme MM.1980 · 68 citations
  4. 4Isoenzymes of Creatine Phosphokinase and Diagnosis of Myocardial Infarction1973 · 82 citations
  5. 5The nature of post-translational formation of MM creatine kinase isoforms.1985 · 38 citations