Does this test have other names?
What is this test?
This test measures a protein called myoglobin in your urine. The test can help find out whether your muscle tissue has been injured.
Myoglobin is found in your heart and skeletal muscles. There it captures oxygen that muscle cells use for energy. But when you have a heart attack or severe muscle damage, myoglobin is released into your blood. Once there, it can rise to dangerous levels in your body.
Your kidneys filter your blood for myoglobin so that it can be removed from your body in your urine. But too much myoglobin can overwhelm the kidneys and lead to kidney failure. In some cases, this test can help your healthcare provider find the hazard and protect your kidney health.
Why do I need this test?
You may need this test if your healthcare provider suspects that you have a severe muscle injury. Symptoms vary, depending on the cause of muscle damage, but may include:
Nausea and vomiting
You may also have this test if you have serious muscle pain and weakness and dark brown or reddish urine. These are possible signs of rhabdomyolysis, a potentially life-threatening muscle condition that can cause your kidneys to fail. Some cases are tied to the use of statins, a group of cholesterol-lowering drugs.
If your myoglobin level rises too high, you may have to get intravenous fluids or other treatments to help flush the extra myoglobin out of your body. This test will help your provider find out whether your injuries need treatment right away.
What other tests might I have along with this test?
Your healthcare provider may also order other tests. These include:
Complete blood count, or CBC, including a differential and platelet count
Blood urea nitrogen, or BUN; creatinine; and routine electrolytes, including potassium
Calcium, phosphate, albumin, and uric acid
Creatine phosphokinase (CPK)
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
Normal results show little or no myoglobin in your urine.
If your results are higher, it may mean you have muscle injury. These are some possible causes of muscle injury:
Coma or another situation in which you don't move
Poisons and certain medicines
Inherited conditions that cause muscle problems
Unusually strenuous exercise
How is this test done?
This test is done with a urine sample. Your healthcare provider will tell you how to collect it.
Does this test pose any risks?
This test poses no known risks.
What might affect my test results?
Other factors aren't likely to affect your results.
How do I get ready for this test?
You don't need to prepare for this test. But be sure your healthcare provider knows about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
October 09, 2017
Clinical manifestations and diagnosis of rhabdomyolysis. UpToDate., Components of Basic (Routine) Urinalysis. McPherson: Henry's Clinical Diagnosis and Management by Laboratory Methods. 2011, 22nd ed., Marx J. Rosen's Emergency Medicine. 2009, 7th ed., Rhabdomyolysis. Clinical Key.
Fraser, Marianne, MSN, RN,Haldeman-Englert, Chad, MD