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Transient right sided hypertrophic cardiomyopathy in an infant born to a diabetic mother
1Division of Cardiology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Insights
Infants of diabetic mothers (IDM) can develop hypertrophic cardiomyopathy (HCM). Disproportionate septal hypertrophy on echocardiography strongly suggests HCM in these infants, often requiring no further cardiac evaluation.
Area of Science:
- Cardiology
- Neonatology
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary myocardial disease causing ventricular hypertrophy.
- Infants of diabetic mothers (IDM) face risks including HCM, respiratory distress, and pulmonary hypertension.
- Previous studies suggest a link between maternal diabetes and HCM in infants.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a rare primary myocardial disease, characterized by hypertrophy of the left and/or right ventricle. Infants of diabetic mothers (IDM) are at risk for development of HCM, respiratory distress and persistent pulmonary hypertension. A case of severe right sided HCM in an infant born to a diabetic mother is presented. The patient's findings were complementary to the previous observations reporting HCM in IDM. The presence of disproportionate septal hypertrophy in the echocardiography of an infant born to a diabetic mother is highly suggestive of HCM in IDM. In our opinion, further cardiac evaluation is not indicated unless other cardiac abnormalities are suspected.
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