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. 2021 Feb 3;7:617277. doi: 10.3389/fcvm.2020.617277

Table 2.

Biomarkers originated from myocardial tissue.

Abbreviation Full name Characteristics Remarks References
LDH Lactate dehydrogenase *Low sensitivity and specificity
*Distinguish acute from subacute MI in patients with positive troponins and negative CK or CK-MB
LDH1:LDH2 ratio >1 is specific for AMI (51)
CK Creatine kinase *Higher sensitivity and specificity than LDH
*Cannot detect minor myocardial injury
*MB2:MB1 ≥1.5 is in favor of AMI *CK-MB relative index (CK-MB/total CK*100) could be used to diagnose MI *Total CK and CK-MB are related to infarction size and prognosis of MI (5, 5254)
Myoglobin *Has no specificity so negative values are more meaningful than positive
*Rises early after MI
Used to evaluate infarction size and reperfusion (5, 9, 55)
cTn Cardiac troponin Highest sensitivity and specificity among biomarkers applied to clinic Golden standard (5, 46)
H-FABP Heart type fatty acid-binding protein *Sense post-ischemic myocardial reperfusion injury
*Prognose relatively long-term post-ischemia
High negative predictive value of H-FABP test can help to rule out AMI earlier (5662)
cMyC Myosin-binding protein C Rise and fall more rapidly after myocardial injury To rule in/out AMI more effectively among those presenting early after symptom onset (27, 63)