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Acute myocardial infarction in the neonatal period

Published online by Cambridge University Press:  30 July 2009

S. Jothi Murugan ,
James Gnanapragasam  and
Joseph Vettukattil
S. Jothi Murugan
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, UK
James Gnanapragasam
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, UK
Joseph Vettukattil*
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, UK
*
Consultant Paediatric Cardiologist, Southampton University Hospitals NHS Trust, Tremona Road, Southampton SO16 6YD, UK. Tel: 02380 796944; Fax: 02380 794256; E-mail: joseph.vettukattil@suht.swest.nhs.uk
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Abstract

We describe two neonates presenting with myocardial infarction, due to two different aetiologies of this extremely rare but potentially treatable condition, and discuss the management. One neonate had myocardial infarction complicating enteroviral myocarditis and recovered completely. The second had fatal myocardial infarction due to thrombosis of the left coronary artery. Although rare, the attending paediatrician should have a high index of suspicion when evaluating a neonate with acute onset of collapse. Electrocardiographic changes are diagnostic, but further echocardiographic assessment and prompt management at a tertiary cardiac centre are advised.

Keywords

Electrocardiographyenterovirus-myocarditiscoronary thrombosiselectrocardiography
Type
Brief Reports
Information
Cardiology in the Young , Volume 12 , Issue 4 , July 2002 , pp. 411 - 413
Copyright
Copyright © Cambridge University Press 2002

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References

1.Kilbride, H, Way, GL, Merenstein, MC, Winfield, JM.Myocardial infarction in the neonate with normal heart and coronary arteries. Am J Dis Child 1980; 134: 759–762.Google Scholar
2.Arthur, A, Cottom, D, Evans, R, Spencer, H.Myocardial infarction in a newborn infant. J Paediat 1968; 73: 110–113.Google Scholar
3.Towbin, JA, Bricker, T, Garson, A.Electrocardiographic criteria for diagnosis of acute myocardial infarction in childhood. Am J Cardiol 1992; 69: 1545–1548.CrossRefGoogle ScholarPubMed
4.Robinson, BW, Anisman, PC, Sandhu, S, Sokoloski, M, Eshaghpour, E.Significance of Q wave in lead I in the newborn. Am J Cardiol 1999; 84: 615–617 (A9).CrossRefGoogle ScholarPubMed
5.Towbin, JA. Myocarditis. In: Allen, HD, Gutgesell, HP, Clark, EB, Driscoll, DJ (eds). Moss and Adams' Heart Disease in Infants, Children and Adolescents (Including the Fetus and Young Adult), 6th edn.Lippincott Williams and Wilkins, Philadelphia, 2001, pp 1197–1215.Google Scholar
6.Lucas, VW, Burchfield, DJ, Donnelly, WH.Multiple coronary thromboemboli and myocardial infarction in a newborn infant. J Perinatol 1994; 14: 145–149.Google Scholar
7.Peeters, S, Vandenplas, Y, Jochmans, K, Bougatef, A, De Waele, M, De Wolf, D.Myocardial infarction in a neonate with hereditary antithrombin III deficiency. Acta Paediatrica 1993; 82: 610–613.CrossRefGoogle Scholar
8.Navero, PJ, Calvo, C, Malo, P, Ruiz, A, Ruza, F.Myocardial infarction and myocardial ischaemia in newborn children and infants not secondary to abnormal coronary. Anales Espanoles de Pediatria 1983; 19: 255–262.Google Scholar
9.Roman, J, Velasco, F, Fernandez, F, Fernandez, M, Villaba, R, Rubio, A.Protein C, Protein S and C4b-binding protein in neonatal severe infection and septic shock. J Perina Med 1992; 20: 111–116.Google Scholar
10.Tometzki, AJ, Pollock, JC, Wilson, N, Davies, CF.Role of ECMO in neonatal myocardial infarction. Arch Dis Child Fetal Neonatal Ed 1996; 74: F143–144.CrossRefGoogle ScholarPubMed