This test is not in routine use, it was historically used to help diagnose muscle injury but has since been replaced by the superior marker creatine kinase (CK), which is measured in blood.
Myoglobin Test
No longer in routine clinical use.
A blood sample taken from a vein in the arm or a random urine sample
None
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How is it used?
Myoglobin was once the primary test to for people with suspected muscle injury. It has been replaced by creatine kinase (CK), which is more sensitive, specific and the concentration remains elevated in the bloodstream for longer following the injury.
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When is it requested?
It is no longer in routine use within the UK having been superseded by the muscle enzyme creatine kinase (CK).
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What does the test result mean?
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Is there anything else I should know?
The excretion of myoglobin by the kidney can lead to renal failure.
Myoglobin is no longer requested in people with chest pain who are suspected of having had a heart attack, having been superseded by troponin, a test which is specific for heart muscle and which also remains elevated for longer in the bloodstream.
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How does myoglobin cause kidney failure?
Myoglobin released from damaged muscle into plasma is filtered by the kidneys into the urine but can precipitate in the kidney tubules, obstructing urine formation. This is a particular risk if shock lowers blood pressure and reduces the rate of urine production. Infusion of fluid into a vein can help increase the rate of urine production and myoglobin loss therefore reducing the risk of kidney failure.