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Serum myoglobins, myoglobin-serum
This test measures the amount of a protein called myoglobin in your blood. It's done to help diagnose conditions caused by muscle damage.
Myoglobin is found in your heart and skeletal muscles. There it captures oxygen that muscle cells use for energy. When you have a heart attack or severe muscle damage, myoglobin is released into your blood.
Myoglobin increases in your blood 2 to 3 hours after the first symptoms of muscle damage. It usually peaks about 8 to 12 hours later.
Your kidneys filter your blood for myoglobin so that it can be passed out of your body in your urine. But too much myoglobin can overwhelm your kidneys and lead to kidney failure. In some cases, healthcare providers will use a urine test for myoglobin to help find the hazard and protect your kidney health.
You may need this test if your healthcare provider suspects you have had a heart attack, which causes damage to the heart muscle. This test is usually done every 2 ot 3 hours if you go to the emergency room with chest pain or other symptoms of a heart attack.
You may also need this test if you have a severe muscle injury, such as with trauma or a condition that damages muscle. Symptoms of muscle injury or damage include:
Nausea and vomiting
If your myoglobin level rises too high, you may have to get intravenous fluids or other treatments to help flush the extra myoglobin out of your body. This test will help your healthcare provider find out whether your injuries need treatment right away.
Higher myoglobin levels can mean your heart has been damaged. But this test is not considered the most specific for diagnosing a heart attack. Your healthcare provider may also order tests to confirm that you've had a heart attack. These include:
Blood tests for other heart attack markers. These tests will look at troponin and other substances that may be released when your heart is damaged.
Electrocardiogram to watch your heart's electrical impulses.
Imaging tests. Various scans can check your heart for damage, clots, and other problems that may affect its ability to pump your blood.
Your provider may also order these tests if he or she suspects muscle damage:
Complete blood count, or CBC, including a differential and platelet count
Blood urea nitrogen, or BUN; creatinine; and routine electrolytes, including potassium
Calcium, phosphate, albumin, and uric acid
Many things may affect your lab test results. These include the method each lab uses to do the test. Even if your test results are different from the normal value, you may not have a problem. To learn what the results mean for you, talk with your healthcare provider.
Results are given in micrograms per liter (mcg/L). Normal results are less than 90 mcg/L.
Higher myoglobin levels mean that you may have muscle damage, but they don't show where the damage took place. Your healthcare provider will order other tests to confirm whether you've had a heart attack.
Higher results may also mean muscle damage elsewhere in your body. Muscles can be injured in many ways, including:
Coma or another situation in which you don't move for a long period of time
Poisons and certain medicines
Conditions such as muscular dystrophy
Unusually strenuous exercise
Higher results may also be caused by:
Malignant hyperthermia, an inherited condition in which your body temperature rises rapidly and your muscles contract when you have general anesthesia
Lower results may mean you have:
Antibodies to myoglobin in your blood
The test requires a blood sample, which is drawn through a needle from a vein in your arm.
Taking a blood sample with a needle carries risks that include bleeding, infection, bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight stinging sensation or pain. Afterward, the site may be slightly sore.
Heavy drinking and certain medicines can affect your results.
You don't need to prepare for this test. But be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
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