LDH Flashcards

1
Q

How many isoenzyme are in LDH?

A

5

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2
Q

Lactate dehydrogenase (LDH) is an enzyme, consisting of five different isoenzymes, which catalyze the interconversion of

A

L-lactate and pyruvate

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3
Q

LDH is present in the

A

Cytoplasm of all human tissues

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4
Q

Ldh are high in what organ

A

Liver, heart and skeletal muscle

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5
Q

Ldh are low in what organ

A

erythrocytes, pancreas, kidney and stomach.

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6
Q

Increased LDH activities

A

Myocardial infarction, cancer, disease of liver, blood or muscle

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7
Q

Method LDH

A

Optimized UV-test according to IFCC (International Federation of Clinical Chemistry and Laboratory Medicine) [

L lactate ➕ nad➕ ➡️pyruvate ➕NADH➕ H➕

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8
Q

Components and Concentrations LDH

A

R1:
N-Methyl-D-Glucamine (ph8.4) 420 mmol/L
L-Lactate 65 mmol/L

R2:
NAD➕ 50 mmol/L

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9
Q

Storage and Stability

A

Reagents are stable up to the date of expiry indicated on the kit, if stored at 2 – 8°C and contamination is avoided. Do not freeze reagents and protect them from light.

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10
Q

Warnings and precautions

A
  1. Reagent 1 contains sodium azide (0.95 g/L) as preservative. Do not swallow! Avoid contact with skin and mucous membranes.
  2. In very rare cases, samples of patients with gammopathy might give falsified results [3].
  3. Please refer to the safety data sheets and take the necessary precautions for the use of laboratory reagents. For diagnostic purposes, the results should always be assessed with the patient’s medical history, clinical examinations and other findings.
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11
Q

Wavelength

A

340/410

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12
Q

Temp

A

37

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13
Q

Measuring range

A

43 U/L up to 1500 U/L

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14
Q

Limit of detection

A

15 U/L

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15
Q

Interfering substance

A

Ascorbic acid
Conjugated bilirubin
Unconjugated bilirubin
Lipemis
Sulfapryridine
Sulfasalazine
Hemoglobin

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16
Q

Conversion factor

A

0.0167

17
Q

Reference range

A

W <247 U/L <4.12 ukat/L
M > 248 U/L <4.14 ukat/L

18
Q

Highest ldh are seen

A

Pernicious anemua and hemolytic disorders