title: Neonatal myocardial infarction: case report and review of the literature.
abstract: Myocardial infarction in a neonate is rare. We describe the case of a full-term male who presented with respiratory distress. A chest radiograph demonstrated cardiomegaly. An electrocardiogram revealed ST segment changes suggestive of ischemia. Cardiac enzymes were elevated and an echocardiogram revealed a regional wall motion abnormality. Cardiac catheterization was performed demonstrating occlusion of the ramus intermedius branch of the left main coronary artery. The patient decompensated, requiring extracorporeal membrane oxygenation (ECMO). The infant was able to be decannulated from ECMO support in 5 days and was ultimately discharged on hospital day 25. We review this case as well as the literature on neonatal myocardial infarction.
authors.affiliation: Department of Pediatrics, Division of Pediatric Cardiology, The Children's Hospital at Montefiore, Bronx, NY 10467, USA. Kfarooqi@montefiore.org
authors.forename: Kanwal M
authors.initials: KM
authors.lastname: Farooqi
authors.forename: Nicole
authors.initials: N
authors.lastname: Sutton
authors.forename: Samuel
authors.initials: S
authors.lastname: Weinstein
authors.forename: Mark
authors.initials: M
authors.lastname: Menegus
authors.forename: Hugo
authors.initials: H
authors.lastname: Spindola-Franco
authors.forename: Robert H
authors.initials: RH
authors.lastname: Pass
mesh_terms: D015415:Biomarkers / Q000097:blood; D006328:Cardiac Catheterization; D006332:Cardiomegaly / Q000209:etiology; D002316:Cardiotonic Agents / Q000627:therapeutic use; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D042241:Early Diagnosis; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010351:Patient Discharge; D011237:Predictive Value of Tests; D012121:Respiration, Artificial; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D002316:Cardiotonic Agents