[Myocardial infarction in children]

Twenty nine patients with myocardial infarction (MI) of different etiology were analysed. The diagnosis was based on routine clinical examination with ECG predominance. In certain cases cardiac catheterisation with cineangiography and scintigraphy were performed. Myocardial infarction the most often was observed in Bland-White-Garland syndrome (15 cases). In 5 cases MI was found in heart muscle disease, in 3 cases in critical aortic stenosis, and in singular cases in progeria syndrome, bacterial endocarditis and after surgical procedure. In 2 older children the etiology of MI was difficult to establish. Clinical picture of MI in children is different in comparison with adult person. Chest pain, typical for MI in adults, is difficult to diagnose particularly in infants. Localisation of MI is also different, predominant is anteroseptal, lateral, subendocardial and papillary muscle infarction. Relative small number of MI in children is due to difficulty in interpretation of clinical picture and to low popularity of ECG examination in this group of age.