Is myocardial injury in children easy to treat?

I believe that the health of their children is what every parent cares about most. If possible, they would definitely be willing to exchange their own health for their children's health. What happens in children with myocardial damage? Is myocardial injury in children easy to treat? There is no doubt that this issue is of greatest concern to many parents. In fact, myocardial injury in children is not as serious and difficult to treat as everyone imagines. Let me give you a detailed introduction below:

In clinical practice, myocardial damage is only a general concept, not an accurate name of a disease. Doctors often use it to diagnose when the heart is damaged but not as severe as myocarditis. The damage is mostly temporary or transient and reversible, and most of them have a good prognosis. Liu Haiyan, Department of Pediatrics, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine

We know that myocardial enzymes and isoenzymes are one of the effective means for early diagnosis of myocardial damage. The following indicators are commonly found in laboratory test reports: GOT (aspartate aminotransferase), CK (creatine kinase), CK-MB (creatine kinase isoenzyme) and LDH (serum lactate dehydrogenase). When myocardial cells are damaged, one or more of these enzymes may increase. The presence of myocardial damage or myocarditis cannot be determined based on the increase of only one or two of the above items, and a comprehensive analysis must be conducted based on clinical manifestations.

CK is widely present in muscles, mainly skeletal muscles. The myocardium contains only half of the skeletal muscle. It is also found in tissues such as the brain, small intestine, liver, and lungs. LDH is also widely distributed in the body. Both enzymes can be released into the blood under pathological damage. Although they have high sensitivity, their specificity is poor.

GOT (aspartate aminotransferase), also known as aspartate aminotransferase, is most abundant in myocardial cells. When myocardial cells are damaged, a large amount of enzyme is released into the blood, increasing the serum content. It is generally used as an auxiliary examination for myocardial infarction and myocarditis in clinical practice, but its serum concentration may also increase when the liver is damaged. When alanine aminotransferase (ALT) is significantly elevated and the alanine/aspartate ratio is >1, it indicates damage to the liver parenchyma.

CK-MB and LDH-1 isoenzymes are myocardial cell-specific isoenzymes, with high levels in myocardial cells. In particular, elevated CK-MB indicates myocardial damage, which has high specificity and sensitivity. Teacher reference.

However, the above tests are just some data after all and cannot replace doctors. Clinical diagnosis requires a comprehensive assessment by the doctor based on medical history and physical examination results.

In clinical practice, we found that among all children with colds, nearly 50% had transient myocardial damage, and when the children's indicators were rechecked 2 weeks later, they returned to normal. Only 3% of children may develop severe symptoms and develop viral myositis, requiring hospitalization.

Generally speaking, myocardial damage in children will not be too serious. Most of the time, it is caused by colds. Everyone just needs to pay more attention. Even if the myocardial damage is accidental, most children can be easily cured and the condition will not worsen. I hope everyone can take good care of their children and let them have a healthy body. If you have any further questions, you can consult our experts online. Our experts are professional pediatricians and we believe you will get a satisfactory answer.