Several clinical hotspots in the diagnosis and treatment of myocardial injury and myocarditis in children

VernacularTitle:儿童心肌损伤及心肌炎诊治中的几个临床热点问题
Author: Qianzhong ZHANG ¹ ; Hua ZHU
Author Information

1. 中国医科大学附属第一医院儿科
Keywords: Myocardial injury; Myocarditis; Myocardial enzymes; Cardiac troponin; Biochemical marker; Children
From: Chinese Pediatric Emergency Medicine 2018;25(9):641-646
CountryChina
Language:Chinese
Abstract: Myocardial injury and myocarditis are the two diagnostic words frequently used by pediatricians,myocardial enzymes and cardiac troponin are also frequently detected in laboratory tests. But up to now,some pediatricians still lack a comprehensive understanding of the clinical significance of cardiac enzymes and their isoenzymes. There are still some misunderstandings about how to interpret the test results correctly. Currently,it is not uncommon for myocardial injury and myocarditis to be over-diagnosed and over-treated. In addition,new biochemical markers of myocardial injury ( cardiac troponin and highly sensitive troponin) are not well understood. This paper discussed the above clinical hot issues and introduced the relat-ed progress. It is expected that correct cognition can guide the diagnosis and treatment of myocardial injury and myocarditis in children in the future.