Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge
Neonatal acute myocardial infarction is an uncommon entity. We describe the case of a 4-day-old term baby who presented with respiratory distress and distal acrocyanosis. The chest radiograph demonstrated cardiomegaly without pleural effusion, and examination revealed hepatomegaly. An electrocardiog...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2019/7203407 |
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| author | Manuel Rodríguez Martínez Eladio Ruiz González Anna Parra-Llorca Máximo Vento Torres Marta Aguar Carrascosa |
| author_facet | Manuel Rodríguez Martínez Eladio Ruiz González Anna Parra-Llorca Máximo Vento Torres Marta Aguar Carrascosa |
| author_sort | Manuel Rodríguez Martínez |
| collection | DOAJ |
| description | Neonatal acute myocardial infarction is an uncommon entity. We describe the case of a 4-day-old term baby who presented with respiratory distress and distal acrocyanosis. The chest radiograph demonstrated cardiomegaly without pleural effusion, and examination revealed hepatomegaly. An electrocardiogram revealed QS pattern in leads I, aVL, and V6, suggestive of ischemia. Cardiac enzymes were elevated, and echocardiogram revealed moderate left ventricular dysfunction with a thrombus at the level of the left atrial appendage. The patient required hemodynamic stabilization, vasodilatation to avoid congestive heart failure, and anticoagulation with heparin and aspirin. In the context of this unusual diagnosis, we reviewed our experience over the last 17 years as well as the existing literature on neonatal myocardial infarction. |
| format | Article |
| id | doaj-art-3ae413a998e040b4a362449e799d92ac |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-3ae413a998e040b4a362449e799d92ac2025-02-03T01:02:16ZengWileyCase Reports in Pediatrics2090-68032090-68112019-01-01201910.1155/2019/72034077203407Myocardial Infarction in Neonates: A Diagnostic and Therapeutic ChallengeManuel Rodríguez Martínez0Eladio Ruiz González1Anna Parra-Llorca2Máximo Vento Torres3Marta Aguar Carrascosa4University and Polytechnic Hospital La Fe, Valencia, SpainDivision of Cardiology, University and Polytechnic Hospital La Fe, Valencia, SpainNeonatal Research Group, Health Research Institute La Fe, Valencia, SpainNeonatal Research Group, Health Research Institute La Fe, Valencia, SpainNeonatal Research Group, Health Research Institute La Fe, Valencia, SpainNeonatal acute myocardial infarction is an uncommon entity. We describe the case of a 4-day-old term baby who presented with respiratory distress and distal acrocyanosis. The chest radiograph demonstrated cardiomegaly without pleural effusion, and examination revealed hepatomegaly. An electrocardiogram revealed QS pattern in leads I, aVL, and V6, suggestive of ischemia. Cardiac enzymes were elevated, and echocardiogram revealed moderate left ventricular dysfunction with a thrombus at the level of the left atrial appendage. The patient required hemodynamic stabilization, vasodilatation to avoid congestive heart failure, and anticoagulation with heparin and aspirin. In the context of this unusual diagnosis, we reviewed our experience over the last 17 years as well as the existing literature on neonatal myocardial infarction.http://dx.doi.org/10.1155/2019/7203407 |
| spellingShingle | Manuel Rodríguez Martínez Eladio Ruiz González Anna Parra-Llorca Máximo Vento Torres Marta Aguar Carrascosa Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge Case Reports in Pediatrics |
| title | Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge |
| title_full | Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge |
| title_fullStr | Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge |
| title_full_unstemmed | Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge |
| title_short | Myocardial Infarction in Neonates: A Diagnostic and Therapeutic Challenge |
| title_sort | myocardial infarction in neonates a diagnostic and therapeutic challenge |
| url | http://dx.doi.org/10.1155/2019/7203407 |
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