title: Nontransmural myocardial infarction as a complication of untreated cystic fibrosis.
abstract: In a 2-year-old boy with untreated cystic fibrosis, an acute deterioration of his chronic respiratory insufficiency developed due to bilateral pneumonia. This condition caused acute right-sided heart failure and nontransmural myocardial infarction of the inferior wall. In concordance with this diagnosis, a marked increase of CPK-MB levels combined with transient severe ischemia on the ECG and the absence of myocardial injury at echocardiography was seen. At 3 years follow-up, he was in good clinical condition.
authors.affiliation: Department of Pediatrics and Pediatric Intensive Care, University of Amsterdam, The Netherlands.
authors.forename: D C
authors.initials: DC
authors.lastname: Aronson
authors.forename: H S
authors.initials: HS
authors.lastname: Heymans
authors.forename: A V
authors.initials: AV
authors.lastname: la Riviere
authors.forename: M S
authors.initials: MS
authors.lastname: Naeff
mesh_terms: D002675:Child, Preschool; D003550:Cystic Fibrosis / Q000150:complications*; D004562:Electrocardiography; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D011014:Pneumonia / Q000150:complications; D012131:Respiratory Insufficiency / Q000209:etiology*