Aspartate aminotransferase (AST), also referred to as glutamate oxaloacetate transaminase (GOT), is one of a group of enzymes which catalyzes the interconversion of amino acids and α-keto acids by transfer of amino groups. Both AST and alanine aminotransferase (ALT) are normally found in most body fluids, but not in urine except in instances of kidney lesions. The greatest concentrations of AST are found in heart, liver, muscle, and kidney tissues. Damage to these tissues can greatly elevate serum AST levels. Following myocardial infarction, AST in serum begins to increase within 6 to 8 hours of onset of pain, reaching a peak within 18 to 24 hours and falling to normal by the fourth or fifth day. Serum values may increase to 10 to 15 times normal levels and the increase is roughly proportional to the degree of tissue damage.