Is a High Myocardial Enzyme Level of 628 Severe, and How to Handle It?

Question

Is a myocardial enzyme level of 628 severe?

Answer

Previous Treatment and Outcomes: Due to the analysis of amniotic fluid, a detailed examination result shows that on the 2nd day, blood tests were conducted, and currently, granular fruit juice 0.4 is being used. Required Assistance: Is the situation severe, can the patient be discharged to take medication at home? Currently, clinical diagnosis commonly uses serum AST, LDH, CK, CK-MB, and α-HBDH as indicators for ischemic myocardial damage. Among them, AST and LDH are distributed widely in the body with poor specificity and mainly exist in the kidneys and skeletal muscles. CK mainly exists in skeletal muscles, followed by myocardium and brain tissue. CK-MB mainly exists in the cytoplasm of myocardial cells and has extremely low content in tissues outside the heart, making it a myocardial-specific enzyme. α-HBDH is an important enzyme in the process of ketone body hydrolysis, mainly existing in the brain and myocardium. The decrease in α-HBDH indicates brain and myocardial damage, especially when the decrease in α-HBDH exceeds that of LDH, it suggests significant heart and brain damage. This set of data shows that the incidence of myocardial damage is 80% (66/82), with clinical manifestations including increased or decreased heart rate, low-pitched heart sounds, and irregular heartbeat.