we have gradually revised our medical protocols for measuring creatine kinase mb isoenzyme ( ck-mb ) and lactate dehydrogenase isoenzyme-1 ( ld-1 ) because of identifiable problems in the use of an interpretation of ck-mb isoenzyme associated with slowly evolving or small myocardial infarct , the use of thrombolytic therapy , or burn and trauma , each of which affects the rate of appearance and composition of isoenzymes present .
C0006434
burn
C0043251
trauma