Cardiac Biomarkers: Myoglobin and LDH
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Questions and Answers

What is the primary advantage of myoglobin as a cardiac marker?

Its low molecular weight allows it to be released earlier from damaged cells.

Which LDH isoenzyme is primarily found in the heart?

LDH-1 (H4)

In which tissues are the largest amounts of LDH found?

Muscles, liver, kidneys, heart, and red blood cells.

What main function does the LDH enzyme serve in the body?

<p>It helps the cells make energy by speeding up certain chemical reactions.</p> Signup and view all the answers

Which LDH isoenzyme is predominantly found in the liver and striated muscle?

<p>LDH-5 (M4)</p> Signup and view all the answers

Explain why myoglobin can be considered an early marker for myocardial infarction (MI).

<p>Due to its low molecular weight, myoglobin is released earlier from damaged cells.</p> Signup and view all the answers

Study Notes

Cardiac Biomarkers

Myoglobin

  • Small protein that stores oxygen in skeletal and cardiac muscle
  • Early marker of Myocardial Infarction (MI) due to its low molecular weight and rapid release from damaged cells
  • Allows early detection of acute myocardial infarction

Lactate Dehydrogenase (LDH)

  • Enzyme that speeds up chemical reactions in the body to produce energy
  • Found in almost all tissues, with highest amounts in muscles, liver, kidneys, heart, and red blood cells

LDH-Isoenzymes

Characteristics

  • Five isoenzymes: LDH-1, LDH-2, LDH-3, LDH-4, and LDH-5
  • Each isoenzyme has a specific distribution in the body:
    • LDH-1 (H4): Heart
    • LDH-2 (H3M1): Reticuloendothelial system
    • LDH-3 (H2M2): Lungs
    • LDH-4 (H1M3): Kidney, placenta, and pancreas
    • LDH-5 (M4): Liver and striated (skeletal) muscle
  • Normal levels: LDH-2 levels are higher than others

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Description

Learn about cardiac biomarkers, including myoglobin and lactate dehydrogenase (LDH), which are used to detect acute myocardial infarction. Understand the advantages and characteristics of these biomarkers.

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