High a-hydroxybutyric acid and lactate dehydrogenase are considered to be due to rheumatic myocarditis, viral myocarditis, or hemolytic anemia, and patients should be treated with glucocorticoids, salicylic acid agents, nutritive myocardial drugs, immunosuppressants and other treatments, such as azelaic acid, coenzyme Q10, and so on, in accordance with the doctor’s instructions.
1. Rheumatic myocarditis: Usually, patients need to follow the doctor’s instructions to use methotrexate, cyclosporine and other anti-rheumatic drugs, and also need to use hydrocortisone, methylprednisolone and other glucocorticosteroid therapy; can also use olsalazine, mesalazine and other salicylic acid preparations.
At the same time, patients also need to use penicillin and other antibiotics to prevent infection. Antibiotics such as lincomycin and erythromycin can also be used if penicillin is allergic. If the patient has serious arrhythmia and heart failure, then digoxin, hair flower glycoside C and other digitalis drugs can be used to treat.
2. Viral myocarditis: Usually early patients can follow the doctor’s instructions for antiviral treatment, while acute patients can use coenzyme Q10, cyclic adenosine monophosphate and other nutritious myocardial drugs. If the patient is not satisfied with other treatments, it is necessary to use prednisone, trimethoprim and other glucocorticosteroids.
3. Hemolytic anemia: usually patients can follow the doctor’s instructions to use prednisone and other glucocorticoid drugs, can control paroxysmal sleep hemoglobinuria hemolytic episodes, can also treat autoimmune hemolytic anemia. And patients also need to be accompanied by the use of cyclophosphamide, azathioprine and other immunosuppressant therapy.
It is recommended that patients with high a-hydroxybutyric acid and lactate dehydrogenase should consult a doctor in time to clarify the cause of the disease and follow the doctor’s instructions actively.