What does it mean when creatine kinase isoenzyme levels rise to 27 U/L?

Under normal circumstances, an increase in creatine kinase-MB (CK-MB) levels to 27 U/L may be caused by intense physical exercise, acute myocarditis, polymyositis, coronary atherosclerotic heart disease, or myocardial infarction. If any discomfort occurs, prompt medical consultation is recommended. Detailed analysis is as follows:

1. Intense Physical Exercise

After prolonged strenuous exercise, muscle cells may sustain mild damage, leading to the release of creatine kinase-MB into the bloodstream, which may cause levels to rise to 27 U/L. This condition is typically transient and returns to normal after rest.

2. Acute Myocarditis

Infection of myocardial cells by viruses or other pathogens may trigger acute myocarditis. The inflammatory response can lead to myocardial cell damage and the release of large amounts of creatine kinase-MB, potentially increasing its level to 27 U/L. Symptoms may include fever and general fatigue. It is recommended to treat under medical supervision using medications such as oseltamivir phosphate capsules, antiviral oral solution, and acyclovir tablets.

3. Polymyositis

Polymyositis is an autoimmune disorder characterized by interstitial inflammation of skeletal muscles and myofiber degeneration, which may lead to elevated creatine kinase-MB levels up to 27 U/L. It is often accompanied by joint pain and rashes. Treatment under physician guidance may include medications such as betamethasone tablets, prednisolone acetate tablets, and hydrocortisone tablets.

4. Coronary Atherosclerotic Heart Disease

Coronary atherosclerotic heart disease results from narrowing or blockage of the coronary arteries, potentially causing myocardial cell injury. This damage leads to the release of significant amounts of creatine kinase-MB, elevating its level to 27 U/L, often accompanied by chest pain and tightness. Under medical supervision, treatment may include metoprolol tartrate tablets, nifedipine tablets, and warfarin sodium tablets.

5. Myocardial Infarction

Excessive fatigue or emotional stress may lead to myocardial infarction. When myocardial cells are damaged or rupture, large quantities of creatine kinase-MB are released into the bloodstream, potentially raising levels to 27 U/L. This is often accompanied by symptoms such as nausea and sweating. Treatment should follow medical advice and may include enteric-coated aspirin tablets, metoprolol tartrate tablets, and clopidogrel hydrogen sulfate tablets.

In daily diet, it is advisable to avoid spicy, raw, or cold foods to prevent bodily discomfort.