Question
A newborn diagnosed as high-risk after a cesarean section was transferred to the pediatric intensive care unit after a second amniotic fluid contamination. The examination revealed elevated myocardial enzyme levels. The question is whether this condition will affect the baby’s development and how it should be treated.
Answer
The elevated myocardial enzyme test is primarily conducted to confirm whether there is myocardial ischemia and necrosis or increased permeability of the cell membrane. In cases of acute myocardial infarction, myocardial disease, and muscle injury, the activity of myocardial enzymes decreases. For newborns, their normal reference values for myocardial enzymes are typically lower than those for adults, so an elevated level of myocardial enzymes cannot be solely used to determine the presence of myocardial disease. Generally, after treatment, the level of myocardial enzymes can return to normal, and it will not affect the baby’s growth and development. However, one must still be aware of the possibility of congenital myocardial damage.