Diagnostic Importance of Creatine Kinase MB - Isoenzyme in Chronic Hemodialysis Patients.
Keywords:
Chronic renal failure (CRF), Creatinine kinase MB (CK - MB), Cardiac BiomarkersAbstract
Chronic renal failure (CRF) results from advanced and irrevocable destruction of nephrons, despite of the cause. Chronic renal failure patients are having higher risk of cardiac problems. The present study was considered to evaluate use of serum cardiac marker in chronic renal failure. Total 89 patients were studied in between age group 40 to 70 years. After applying the inclusion and exclusion criteria, a total of 60 chronic renal failure patients were eligible for the study. The data was collected and compared with 60 age and sex matched healthy controls from the same age group. The statistical analysis was done using SPSS 16.0 software. All the patients were assessedwith creatinine kinase MB (CK-MB) and baseline parameters such as RBS (random blood sugar), blood urea, creatinine and total cholesterol.
The concentrations of CK-MB, RBS, blood urea, creatinine, and total cholesterol were significantly elevated (P<0.001) when compared with control group. Patients maintained on chronic dialysis without evidence of acute myocardial injury often have chronically increased CK-MB concentration.
Downloads
References
Boggarapu Kiranmayi, A. Navaneetha Lakshmi, R. Tagore, Chandrakala Kambar. Evaluation of Cardiac Markers in Chronic Renal Failure. IOSR Journal of Dental and Medical Sciences (1 OSR-JDMS) 2015;14(1):46-52
National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. US Renal Data System, USRDS 1998 Annual Data Report. Bethesda, Md:National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: 1998.
National institutes of health.Nation institute of Diabetes and Digestive and Kidney Diseases. US Renal Data System, USRDS 2000 Annual Data Report. Bethesda, Md: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2000
4. Shulman NB, Ford CE, Hall WD, et al. Prognostic value of serum creatinine and effect of treatment of hypertension on renal function: results from the hypertension detection and follow-up program. The Hypertension Detection and Follow-up Program Cooperative Group. Hypertension. 1989;13(5 suppl):180-193.
George SK, Singh AK. Current markers of myocardial ischemia and their validity in end stage renal disease. CurrOpin Nephro Hypertens 19998719722 6. McNeil AR, Marshall M, Ellin CJ, Hawkins
McNeil AR,Marshall M,Ellin CJ,Hawkins RCWhy is troponin T increased in the serum patients with end stage renal disease? ClinChem 1998;44"2377-8
Immunoinhibition and automated column chromatography compared for assay creatine kinase Isoenzyme MB in serum M.Bayer, M.Boehm and et al.Clin Chem 28/1,166/169 1982.
Trinder, P et al., Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptar; Ann.Clin chem.6(24)1969.
Fawsett J K and J E Seoh: A Rapid and precise method for determination of urea Journal of Clin. Path. 13,156-159;1960.
Bonnes W, Taussky H A.: On the Colorimetric determination of creatinine by the Jaffe's reaction. Journal of BiologicaChemistry, 158,581,1945.
Allain C.C., Poon L.S., Chan C.SG, Richmond W. and Fu et al, Enzymatic Determination of Total Serum Cholesterol, Clin Chem., 20(470)1974.
Sarathi Kalra, Pralhad Sharma, Acharya Pranab Sharma, Sanjib Sharma. Prevalence of Cardiovascular Risk Factors in Patients with Chronic Kidney Disease. JIACM 2009 10(1&2):23-6.
McCullough PA, Sandberg KR, Borzak Cardiovascular outcomes and renal disease. Ann Intern Med 2002;136:633-4.
Golam K Alam, David B Lieb. Biochemical Markers of Myocardial Ischemia in Renal failure. Hospital Physician 2002;27-31
Mary D. McLaurin, Fred S. Apple, Ellen Voss, Charles A. Herzog, Scott W. Sharke Cardiac troponin I, cardiac troponin and creatine kinase MB in dialysis patients without ischemic heart disease: evidence cardiac troponin T expression in skeletal muscle. Clinical Chemistry 1997; 49 976-982.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.