Question
The child’s cardiac enzyme levels were 27 times the normal range on November 16th. On November 27th, due to bronchitis, they were administered intravenous fluids and rechecked for cardiac enzymes, with the creatine kinase isoenzyme level dropping to 26 times the normal range. The lactate dehydrogenase level was 287 (normal range 40-250). The EKG and echocardiogram were normal, and the results of the pneumonia mycoplasma chlamydia test were normal. The child had severe bronchitis symptoms and had not been given medication for myocardial damage. As of June 9, 2013, four months had passed without any treatment for myocardial damage. The child is in good spirits and active, but now has a fever accompanied by coughing. Should the child still need to have their cardiac enzyme levels rechecked?
Answer
Based on the information provided, considering the respiratory system infection, multiple cardiac enzyme level tests have been elevated, indicating possible myocardial damage. It should be avoided to have a fever or engage in severe movements. Now that there is a respiratory system infection, a viral infection may worsen myocardial damage. It is recommended to undergo a chest X-ray to determine if there is inflammation in the lungs and to consider rechecking the cardiac enzymes. This is the answer to the question “Does the child still need to recheck the cardiac enzyme levels?” I hope this helps you. Wishing you good health!