What are the drugs that nourish the heart muscle in children?

Currently, the commonly used nutritional myocardial drugs for children in domestic pediatric clinics are mainly fructose sodium diphosphate, creatine phosphate, L-carnitine, and coenzyme Q10, which improve the energy metabolism of myocardial cells. In addition, vitamin C, astragalus oral liquid, etc. can also be used according to the specific situation of the child.

I have met many parents who were diagnosed with elevated myocardial enzymes due to colds, flu or rotavirus infection. As soon as they received the report, they rushed to ask whether they should take medicine to nourish the heart muscle. In fact, it really cannot be generalized. Last month, there was a 4-year-old girl who sighed after getting hand, foot and mouth disease. She would squat down and rub her chest after running for two steps. Her cardiac troponin was also high. At that time, she was prescribed intravenous creatine phosphate for a week, and then switched to oral sodium fructose diphosphate combined with children's version of Coenzyme Q10. She was told not to run or jump and rest more. Within a month, all the indexes were normal and she no longer complained about being tired.

But to be honest, there have been different opinions on the use of this type of drugs in the industry. Many evidence-based studies have pointed out that the vast majority of mild myocardial damage is actually a transient reaction after viruses or infections. Myocardial cells are only temporarily "tired". As long as you ensure enough rest, they can slowly repair themselves without the need for additional medication. If you give it to children regardless of the severity, you may suffer additional consequences. For example, many children will suffer from bloating and diarrhea after taking oral sodium fructose diphosphate. Excessive levocarnitine may also cause adverse reactions such as nausea and vomiting.

When I usually sit in the clinic, I never prescribe medicine to nourish the myocardium when myocardial enzymes are elevated. If the child's cardiac enzymes are only slightly higher during a physical examination or after a common cold, and he can run and jump normally, and has no symptoms such as chest tightness, fatigue, or inexplicable sighing, parents usually just ask the child to go back and watch the child to rest more, eat more fruits with high vitamin C content such as oranges and kiwis, and come back for a re-examination in two weeks. Most children's indicators have dropped by themselves during the re-examination. Only children who really have obvious symptoms of myocardial damage, or have severe infection or myocarditis will choose 1-2 types according to the situation, and they will not prescribe the dosage for too long. Basically, they will be reviewed and adjusted in 2-4 weeks.

In fact, to put it bluntly, these drugs that nourish the heart muscle are equivalent to sending an "energy supply package" to the overdrawn cardiomyocytes, which can help speed up the repair speed. However, if the cardiomyocytes are only slightly tired, they can recover after two days of rest. Forcibly stuffing them with a supply package will increase the metabolic burden, which is completely unnecessary. I also advise all parents not to follow the trend and buy medicine for their children. I have encountered parents before who saw their children eating fructose. Their children’s cardiac enzymes were only a few tenths units high, so they bought medicines for their children to take for half a month. The children had diarrhea for almost two weeks. When they came for a review, the indicators were already normal. They suffered for no reason. If you are really worried about your child's heart muscle problems, you must see a pediatric cardiovascular specialist for evaluation before deciding whether to use it or which kind to use. Don't blindly give your child supplements by yourself.