title: Erythrocytosis and severe asphyxia: two different causes of neonatal myocardial infarction.
abstract: Neonatal acute myocardial infarction is a rare event that carries a high mortality rate. We describe the cases of two newborns who survived acute myocardial infarction and discuss the management. The first neonate was born with severe asphyxia and left ventricular myocardial infarction with ventricular tachycardia. In this patient, systemic flow was maintained by right-to-left shunting through the patent ductus arteriosus. The second neonate presented with a haematocrit of 80% and an inferolateral myocardial infarction. Intensive treatment of low cardiac output syndrome led to survival of both high-risk neonates. In the follow-up, at 48 and 4 months, respectively, ventricular function recovered in both patients.
authors: Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy.
authors: Elio
authors: E
authors: Caruso
authors: Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy.
authors: Alfredo
authors: A
authors: Di Pino
authors: Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy.
authors: Daniela
authors: D
authors: Poli
authors: Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy.
authors: Lucia
authors: L
authors: Manuri
authors: Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy.
authors: Paolo
authors: P
authors: Guccione
mesh_terms: D001238:Asphyxia Neonatorum / Q000150:complications / Q000628:therapy*; D002303:Cardiac Output, Low / Q000209:etiology / Q000628:therapy*; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D002585:Cesarean Section; D004232:Diuretics / Q000627:therapeutic use*; D004374:Ductus Arteriosus, Patent / Q000150:complications; D004562:Electrocardiography; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D011086:Polycythemia / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D012907:Smoking / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D002316:Cardiotonic Agents; D004232:Diuretics; D014665:Vasodilator Agents