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Myocardial Infarction in the Neonate With Normal Heart and Coronary Arteries
MAJ Howard Kilbride, MC;
MAJ Gerald L. Way, MC;
LTC Gerald B. Merenstein, MC;
Jonathan M. Winfield, MB, ChB, FRCP(C)
Am J Dis Child. 1980;134(8):759-762.
Abstract
• Myocardial infarction is rarely recognized in the newborn. We report two cases in which the infant had a normal heart with normal coronary arteries. A review of previously described cases suggests that the most frequent cause of neonatal myocardial infarction is coronary artery occlusion secondary to paradoxical thromboembolization. It is speculated that infarction also can result from coronary hypoperfusion in asphyxiated infants. This report serves to remind the clinician that myocardial infarction can occur in the neonatal period and that an ECG should be obtained when evaluating a newborn with acute onset of shock.
(Am J Dis Child 134:759-762, 1980)
Author Affiliations
USA; USA; USA
From the Department of Pediatrics, Fitzsimons Army Medical Center, Aurora, Colo (Drs Kilbride, Way, and Merenstein); and the Department of Perinatology, Children's Hospital, Denver (Dr Winfield).
Footnotes
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Reprint requests to Department of Pediatrics, Letterman Army Medical Center, Presidio of San Francisco, CA 94129 (Dr Kilbride).
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