Creatine kinase 500+ usually requires treatment, but it is important to go to the hospital to diagnose the specific condition before deciding to determine how to treat it. High creatine kinase can appear in acute myocardial infarction, viral myocarditis, skeletal muscle injury, strenuous exercise, can be general treatment, drug treatment and physical therapy.
1. Acute myocardial infarction: bed rest, oxygen, anti-platelet, such as aspirin, clopidogrel and other medications, and according to the patient’s condition, thrombolysis, coronary intervention, such as infarction within 12 hours, and there is no contraindication to thrombolysis, thrombolysis can be chosen, generally within 3 hours of acute infarction is more effective.
2. Viral myocarditis: myocardial injury leads to elevated creatine kinase, should avoid exertion, appropriate rest, give coenzyme Q10 and trimetazidine and other nutritive myocardial drugs, if there is heart failure, then anti-heart failure treatment, such as digitalis drugs, diuretics (furosemide, hydrochlorothiazide), ACEI drugs (enalapril, perindopril), etc., if there is arrhythmia, then the use of anti-arrhythmic drugs, such as Phenytoin sodium, metoprolol, etc.
3. Skeletal muscle injury: Creatine kinase is elevated due to muscle injury, which is mainly treated with medication, painkillers such as ibuprofen, diclofenac sodium, etc. Physiotherapy, such as massage, acupuncture, cold compresses within 48 hours and hot compresses after 48 hours, etc., is also available.
4. Strenuous exercise: Measurement after strenuous exercise can lead to elevated creatine kinase, and strenuous exercise should be avoided the day before and the day of creatine kinase measurement.
Patients with high creatine kinase should go to the regular hospital in time and under the guidance of the doctor’s treatment, drugs need to be used under the guidance of the physician.