Normal values ​​of myocardial enzymes in newborns

Nowadays, every child is a treasure in the family, and children’s health issues in particular have received great attention from parents. However, recently many parents have reported that when their babies went to the hospital for check-ups, they found that their babies' myocardial enzymes were high, and many parents did not understand what high myocardial enzymes meant. So today I will give you a detailed introduction to what is going on when your baby's myocardial enzyme is high. Let’s take a look together below.

Among them, CK-MB and LDH1 have the highest specificity. Currently, the normal values ​​of myocardial enzyme spectrum are mostly based on adult standards, while the normal values ​​of children are higher than those of adults. Therefore, do not think that a child has myocarditis if his/her myocardial enzyme spectrum value increases. Since there are many factors that affect the myocardial enzyme spectrum, many hospitals use the measurement of cardiac troponin to assist in the diagnosis of myocarditis. The myocardial enzyme spectrum of most children is 2 to 3 times the normal reference value. The purpose of the reference values ​​of myocardial enzymes in infants and young children is to understand the reference values ​​of myocardial enzymes in children and provide a basis for clinical diagnosis. [Methods] Myocardial enzymes of 105 healthy children aged 1 to 6 years who underwent physical examinations for kindergarten or school admission at Peking University Third Hospital from February to May 1999 were tested, and the results were statistically analyzed. [Results] The reference values ​​of myocardial enzymes in the 105 children aged 1 to 6 years were creatine kinase (115±82) U/L, creatine kinase isoenzyme (19±13) U/L, aspartate aminotransferase (32±15) U/L, lactate dehydrogenase (263±113) U/L, and a-hydroxybutyrate dehydrogenase (246±114) U/L. [Conclusion] The reference values ​​of myocardial enzymes in children aged 1 to 6 years are higher than those in adults. Generally a 2-week break is required.

The drug treatment plan for myocarditis in children is as follows:

1. Primary viral infection or various secondary infections should be actively treated. Ribavirin can be used for antiviral treatment. Traditional Chinese medicines such as Isatis Root and Isatis Indigotica have the effect of clearing heat and detoxifying, and may be effective for viral infections. Broad-spectrum antibiotics can be used to prevent and treat secondary infections.

2. Application of drugs that promote myocardial metabolism: Add 4-5g of vitamin C to 250-500ml of 10% glucose and drip intravenously once a day. One course of treatment is 15 days. Vitamins B and E can reduce free radicals in the myocardium and promote myocardial recovery, so they can be taken. Adenosine triphosphate, coenzyme A, and polarizing fluid can all promote myocardial metabolism. 250-500ml of 10% glucose can be given, with 20-40mg of adenosine triphosphate, 50-100u of coenzyme A, 7.5-15ml of 10% potassium chloride, 5-10ml of 25% magnesium sulfate, and 4-8u of regular insulin added, and injected intravenously once a day for 14 days as a course of treatment.

3. Improve immune function and actively prevent viral infections such as colds and any fever. Wilburn, thymosin, etc. can be used.

The above is what we introduced to you about the high myocardial enzyme levels in babies. Therefore, based on the content mentioned above, parents must pay attention to their children’s physical condition and take their children to the hospital for diagnosis and treatment immediately if they encounter any illness. Diseases like high myocardial enzyme levels in babies cannot be delayed, otherwise it will only worsen the condition. I hope the above content can help you.