Acute myocardial infarction in the neonatal period.
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.
Department of Paediatric Cardiology, Southampton General Hospital, UK.
S Jothi
SJ
Murugan
James
J
Gnanapragasam
Joseph
J
Vettukattil
D003328:Coronary Thrombosis / Q000150:complications*; D004769:Enterovirus Infections / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy*; D009205:Myocarditis / Q000150:complications* / Q000382:microbiology