High myoglobin plasma samples risk being reported as falsely low due to antigen excess – follow up after a 2-year period of using a mitigating procedure

If the Roche Elecsys<sup>®</sup> Myoglobin assay is used according to the manufacturer, extremely high myoglobin samples risk being reported as only mildly elevated or near normal. This may affect clinical decisions. Thus, we suggest an AE mitigation procedure with automatic dilution of samples where myoglobin concentrations exceed 500 μg/L to mitigate this risk. Roche needs to take further actions to eliminate the consequences of the AE interference.

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Publication Details

Journal
Clinical Chemistry and Laboratory Medicine (CCLM)
Published
2025-05-22
DOI
https://doi.org/10.1515/cclm-2025-0409
Primary Topic
Clinical Laboratory Practices and Quality Control
Type
article
Field-Weighted Citation Impact
0.00
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article

High myoglobin plasma samples risk being reported as falsely low due to antigen excess – follow up after a 2-year period of using a mitigating procedure

Joakim Sandstedt, Anders Olsson, Manne Stenberg, Karin Lundberg et al.
Clinical Chemistry and Laboratory Medicine (CCLM)
Clinical Laboratory Practices and Quality Control
article

High myoglobin plasma samples risk being reported as falsely low due to antigen excess – follow up after a 2-year period of using a mitigating procedure

Joakim Sandstedt, Anders Olsson, Manne Stenberg, Karin Lundberg, Esmira Becirevic
article en

Abstract

If the Roche Elecsys<sup>®</sup> Myoglobin assay is used according to the manufacturer, extremely high myoglobin samples risk being reported as only mildly elevated or near normal. This may affect clinical decisions. Thus, we suggest an AE mitigation procedure with automatic dilution of samples where myoglobin concentrations exceed 500 μg/L to mitigate this risk. Roche needs to take further actions to eliminate the consequences of the AE interference.

Clinical Chemistry and Laboratory Medicine (CCLM)Vol. 63(10)
Sahlgrenska University Hospital (SE), University of Gothenburg (SE)
Openalex Percentile: Top 85%
Clinical Laboratory Practices and Quality Control
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