Final Estimation of SGOT
Final Estimation of SGOT
Reference: Godkar Praful B.; “Clinical Biochemistry, principles and practice”; Published
by Bhalani Publishing house, Bombay, India; Page No: - 155-156
Principle:
1) In this reaction L-Aspartate and alpha ketoglutarate react in the presence of GOT
in the sample to yield oxaloacetate and L glutamate.
Oxaloacetate + NADH
MDH
Malate +NAD
Procedure:
Working reagent was prepared by mixing 4 parts of RI and one part of RII
Working reagent 1000 µl
Sample 100 µl
The reagents were mixed immediately at 37 °C. After 1 minute record the initial
absorbance at 340 nm. And then at 1, 2, 3 minutes from the first reading. Determine
average change in the absorbance/min subtracting each reading from the previous one
and averaging these values. Use the ∆ A/min for the calculation.
Observation table:
Calculation:
Result:
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Clinical Significance:
The level is significantly elevated in Acute myocardial infarction (MI). In acute MI- Serum activity
rises sharply within the first 12 hours, with a peak level at 24 hours or over and returns to normal
within 3-5 days.
Extra:
Levels> 350 IU/L are due to massive infarction (Fatal), > 150 IU/L are associated with high mortality
and levels, < 50 IU/L are associated with low mortality. Other diseases- The rise in activity is also
observed in muscle and hepatic diseases. These can be well differentiated from simultaneous
estimations of other enzyme activities like SGPT etc, which do not show and rise in activity in Acute
MI.