Transient Hypertrophic Cardiomyopathy in Neonates After Acute Fetal Distress
| Autor: | C. Chamboux, Alain Chantepie, F. Gold, J. Laugier, A. Casasoprana, M.C. Vaillant, A.L. Suc |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Myocardial Ischemia Diastole macromolecular substances Fetal Distress Muscle hypertrophy Internal medicine medicine Fetal distress Humans cardiovascular diseases Interventricular septum business.industry Infant Newborn Hypertrophic cardiomyopathy Cardiomyopathy Hypertrophic Vascular surgery Prognosis medicine.disease Echocardiography Doppler Cardiac surgery medicine.anatomical_structure Ventricle Acute Disease Pediatrics Perinatology and Child Health cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Pediatric Cardiology. 18:52-56 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/s002469900110 |
| Popis: | We report three cases of transient myocardial hypertrophy, diagnosed by echocardiography, occurring between the second and seventh days of life in neonates with initially normal ventricular myocardial wall thickness. The three term neonates had perinatal injury with acute fetal distress. In all three cases electrocardiographic and biologic signs of myocardial ischemia were present. The first echocardiographic results showed abnormalities in systolic or diastolic left ventricular function, without hypertrophy of the walls. The hypertrophic cardiomyopathy (HCM) occurred between days 2 and 7 and affected first the interventricular septum and the free wall of the right ventricle. The left ventricular posterior wall subsequently became abnormal, resulting in severe overall myocardial hypertrophy, which finally disappeared in all three cases between 1 and 5 months of life. Such observations of early severe and transient HCM have not been previously reported. We believe it is a consequence of myocardial ischemia due to acute fetal distress. The prognosis of this type of HCM is good, in contrast to that of other primitive HCM occurring in neonates. |
| Databáze: | OpenAIRE |
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