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Published on: September 17, 2021
[Lactic acid dehydrogenase in the diagnosis of rheumatic carditis]
1Ospedale di Circolo di Cantù.
Insights
Lactic acid dehydrogenase (LDH) levels are normal in inactive rheumatic heart disease and non-rheumatic heart failure. Elevated LDH is a valuable indicator for diagnosing active rheumatic carditis, surpassing SGOT in utility.
Area of Science:
- Biochemistry
- Cardiology
- Diagnostic Medicine
Context:
- Rheumatic carditis diagnosis
- Isoenzyme analysis
- Biomarker utility
Purpose:
- Evaluate lactic acid dehydrogenase (LDH) and isoenzymes for diagnosing active rheumatic carditis.
- Compare diagnostic utility of LDH versus serum glutamic-oxaloacetic transaminase (SGOT).
Summary:
- LDH levels remain normal in inactive chronic rheumatic valvulopathy and non-rheumatic cardiac insufficiency.
- Elevated LDH demonstrates significantly greater diagnostic value than SGOT in active rheumatic carditis.
Impact:
- Highlights LDH as a key biomarker for active rheumatic carditis.
- Informs diagnostic strategies for rheumatic heart disease.
Abstract:
The literature relating to the determination of lactic acid dehydrogenase and its isoenzymes in the diagnosis of active rheumatic carditis is examined. It is noted that LDH values are normal in inactive chronic rheumatic valvulopathy and in non-rheumatic cardiac insufficiency and that they are of much greater diagnostic utility than SGOT levels in cases of active rheumatic carditis.
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