High myocardial enzymes need to be alert to acute myocardial infarction, myocarditis and other diseases, and myocardial enzymes mainly include aspartate aminotransferase, lactate dehydrogenase, creatine kinase and isoenzyme, a-hydroxybutyric acid dehydrogenase and so on.
1. Aspartate aminotransferase: Elevation of this index is mostly seen in acute myocardial infarction, infectious hepatitis, hepatocellular carcinoma, cirrhosis in active stage, obstructive jaundice, cholecystitis, cholangitis and so on. Pulmonary embolism, nephritis, acute pancreatitis, muscle contusion, gangrene, progressive muscular dystrophy and so on will also show the elevation of this index.
2. Lactate dehydrogenase: Elevated values are usually seen in acute myocardial infarction, viral hepatitis, skeletal myopathy, leukemia, cirrhosis, etc. Elevated lactate dehydrogenase can also be seen in acute lymphoblastic leukemia, pernicious anemia and other conditions.
3. Creatine kinase and isoenzymes: this value is usually elevated in myocardial infarction, and elevated values can also suggest angina pectoris, pericarditis, polymyositis, skeletal muscle injuries, installation of pacemakers, hypothyroidism, and so on.
4. a-hydroxybutyric acid dehydrogenase: a-hydroxybutyric acid dehydrogenase can be elevated in patients with myocardial infarction 12~18 hours after the onset of a-hydroxybutyric acid dehydrogenase, and the value of the elevation can also be seen in acute viral myocarditis, hemolytic anemia, active rheumatic cardiomyopathy and so on.
It is recommended that patients with high myocardial enzyme should consult a doctor in time to clarify the cause of the disease, and actively carry out systematic treatment to avoid delaying the disease.