“…35 Blood Mb levels can be elevated in several conditions with muscle cell injury such as acute myocardial infarction, acute vascular occlusion, rhabdomyolysis, myopathies, after vigorous exercise, ventricular tachycardia, shock, and seizures. 31,35 Because Mb is eliminated through the kidney, serum Mb levels can also be elevated in renal failure. 31,33,35,37 In other investigations, the elimination of Mb was not affected by the glomerular filtration rate and elimination of Mb was not influenced by renal function, suggesting a major role for extrarenal removal.…”