Is elevated cardiac enzyme a problem?

Dec 09, 2022 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Elevated cardiac enzymes are generally indicative of a problem. Cardiac enzymes mainly include aspartate aminotransferase, lactate dehydrogenase, creatine kinase, elevated myoglobin, and elevated creatine kinase-MB. The clinical significance varies depending on the specific type of elevated cardiac enzyme. Patients are advised to promptly visit a cardiologist at the hospital and cooperate with the doctor to complete further relevant examinations.

Elevated cardiac enzymes are generally indicative of an underlying problem. Cardiac enzymes mainly include aspartate aminotransferase, lactate dehydrogenase, creatine kinase, elevated myoglobin, and elevated creatine kinase-MB. Different types of elevated cardiac enzymes have varying clinical implications. Specific analyses are as follows:

1. Elevated aspartate aminotransferase

Elevated levels of aspartate aminotransferase may indicate possible conditions such as acute myocardial infarction, infectious hepatitis, obstructive jaundice, liver abscess, fatty liver, progressive muscular dystrophy, acute pancreatitis, or muscle contusion.

2. Elevated lactate dehydrogenase

Elevated lactate dehydrogenase levels may suggest possible conditions including acute myocardial infarction, viral hepatitis, chronic glomerulonephritis, systemic lupus erythematosus, subarachnoid hemorrhage, or liver cirrhosis.

3. Elevated creatine kinase

Elevated creatine kinase levels may indicate possible conditions such as myocardial infarction, angina pectoris, pericarditis, polymyositis, progressive muscular dystrophy, or hypothyroidism.

4. Elevated myoglobin

Elevated myoglobin levels may be associated with diseases such as polymyositis, renal insufficiency, dermatomyositis, coronary atherosclerotic heart disease, or acute myocardial infarction.

5. Elevated creatine kinase-MB

Elevated creatine kinase-MB levels may indicate conditions such as acute myocarditis, dilated cardiomyopathy, or acute myocardial infarction.

Patients are advised to promptly visit the cardiology department of a hospital, cooperate with physicians to complete further relevant examinations, identify the specific cause of elevated cardiac enzymes, and receive appropriate treatment.

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