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Glycogen Phosphorylase Isoenzyme BB Glycogen phosphorylase isoenzyme BB (GPBB) should not be considered a marker of myocardial ischemia; instead, its early release within 2-4 h after the onset of myocardial damage in parallel with myoglobin or heart-type fatty-acid-binding protein is an indicator of irreversible myocardial damage.
Other markers are being evaluated such as free fatty acids, pregnancy-associated plasma protein-A, glycogen phosphorylase isoenzyme BB, sphingosine-1-phosphate and whole blood choline.