Neonatal Myocardial Infarction or Myocarditis?

被引：21

作者：

de Vetten, Leanne ^{[1
,4
]}

Bergman, Klasien A. ^{[1
]}

Elzenga, Nynke J. ^{[2
]}

van Melle, Joost P. ^{[2
]}

Timmer, Albertus ^{[3
]}

Bartelds, Beatrijs ^{[2
]}

机构：

[1] Univ Groningen, Univ Med Ctr Groningen, Dept Neonatol, NL-9700 RB Groningen, Netherlands

[2] Univ Groningen, Univ Med Ctr Groningen, Ctr Congenital Heart Dis, NL-9700 RB Groningen, Netherlands

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Pathol & Med Biol, NL-9700 RB Groningen, Netherlands

[4] Locat Sophia Hosp, Dept Paediat, Isala Klinieken, NL-8000 Zwolle, Netherlands

来源：

PEDIATRIC CARDIOLOGY | 2011年 / 32卷 / 04期

关键词：

Myocardial infarction; Myocarditis; Neonate; LEFT CORONARY-ARTERY; NEWBORN; OCCLUSION; SURVIVAL;

D O I：

10.1007/s00246-010-9865-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a 29 week-gestation preterm infant who presented during his second week of life with cardiogenic shock. Clinical presentation and first diagnostics suggested myocardial infarction, but echocardiographic features during follow-up pointed to a diagnosis of enteroviral myocarditis. The child died of chronic heart failure at 9 months of age. Autopsy showed passed myocardial infarction. No signs for active myocarditis were found. We discuss the difficulties in differentiating between neonatal myocardial infarction and myocarditis. Recognizing enteroviral myocarditis as cause for cardiogenic shock is of importance because of the therapeutic options.

引用

页码：492 / 497

页数：6

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