Neonatal Myocardial Infarction or Myocarditis?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Leanne de Vetten • Klasien A. Bergman • Nynke J. Elzenga • Joost P. van Melle • Albertus Timmer • Beatrijs Bartelds
- چاپ و سال / کشور: 2011
Description
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.
Pediatr Cardiol (2011) 32:492–497 DOI 10.1007/s00246-010-9865-8 Received: 8 September 2010 / Accepted: 7 December 2010 / Published online: 8 January 2011
