Key result
A neonate with acute myocardial infarction secondary to umbilical venous catheterization was successfully managed with fluid resuscitation, inotropic drugs, and vasodilators.
Case Report (n=1)
Neonatal myocardial infarction is a rare but treatable condition that requires early recognition and intensive care management, with potential for myocardial regeneration in survivors.
May support intensive supportive care in catheter-related neonatal MI; hypothesis-generating and requires prospective validation.
Neonatal acute myocardial infarction (MI) is a rare event, with a high mortality rate. Early recognition and intensive care management can be successful, and it requires a high index of suspicion in cases of unknown cardiogenic shock. The lack of access to cardiac catheterization should not delay management. Furthermore, there is great potential for myocardial regeneration to occur in surviving neonates with MI, emphasizing the importance of early recognition and management. The present report describes a neonate with an anatomically normal heart and coronary arteries who developed clinical, laboratory and electrocardiographic features of MI, and was managed successfully with fluid resuscitation, inotropic drugs and vasodilators.
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Poonai et al. (2009) conducted a case report in Neonatal acute myocardial infarction (n=1). Fluid resuscitation, inotropic drugs, and vasodilators was evaluated on Clinical recovery. A neonate with acute myocardial infarction secondary to umbilical venous catheterization was successfully managed with fluid resuscitation, inotropic drugs, and vasodilators.