Table 2.
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, 52–54) |
– | 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 | (56–62) |
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) |