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[Myocardial infarct in children. The anatomicoclinical aspects]
A G Dimitriu1, G Scumpu, O Brumariu
1Clinica I Pediatrie, U.M.F. Iaşi.
Summary
Myocardial infarction in children is rare, with varied causes like coronary mediocalcosis and congenital heart defects. Clinical presentation often includes severe cardiac failure, with non-specific ECG findings.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Pathology
- Neonatal Medicine
Context:
- Myocardial infarction (MI) in pediatric populations is an uncommon but serious condition.
- Understanding the diverse etiologies and clinical presentations is crucial for timely diagnosis and management.
- This study reviews a cohort of pediatric MI cases over a 15-year period.
Purpose:
- To present the etiologies and underlying mechanisms of myocardial infarction in newborns and infants.
- To describe the clinical findings and electrocardiographic (ECG) characteristics in pediatric MI.
- To highlight the challenges in diagnosing and managing MI in this age group.
Summary:
- Nine cases of myocardial infarction in infants and newborns were analyzed.
- Etiologies included coronary mediocalcosis, congenital heart abnormalities (e.g., endocardial fibroelastosis, hypertrophic cardiomyopathy), severe hypoxia, and acute rheumatic fever.
- The predominant clinical finding was severe decompensated cardiac failure, with largely non-specific ECG findings.
Impact:
- Provides insights into the multifactorial nature of pediatric myocardial infarction.
- Emphasizes the importance of considering MI in neonates and infants presenting with cardiac failure.
- Contributes to the understanding of cardiovascular emergencies in pediatric patients.