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

Flashcards

Myoglobin advantage as cardiac marker?

Low molecular weight enables early release from damaged cells.

Predominant heart LDH isoenzyme?

LDH-1 (H4) is the primary isoenzyme in the heart.

Tissues with abundant LDH?

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

Main function of LDH enzyme?

Helps cells produce energy by accelerating chemical reactions.

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LDH isoenzyme in liver/muscle?

LDH-5 (M4) is predominant in the liver and striated muscle.

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Why is myoglobin an early MI marker?

Its low molecular weight leads to early release from damaged cells.

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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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