Key result
Intensive treatment of low cardiac output syndrome led to survival and recovery of ventricular function in two high-risk neonates with acute myocardial infarction.
Case Report (n=2)
Intensive management of low cardiac output syndrome in neonatal myocardial infarction can lead to survival and recovery of ventricular function.
May support intensive LCOS management in neonatal AMI; hypothesis-generating and leaves open confirmation in larger cohorts.
Neonatal acute myocardial infarction is a rare event that carries a high mortality rate. We describe the cases of two newborns who survived acute myocardial infarction and discuss the management. The first neonate was born with severe asphyxia and left ventricular myocardial infarction with ventricular tachycardia. In this patient, systemic flow was maintained by right-to-left shunting through the patent ductus arteriosus. The second neonate presented with a haematocrit of 80% and an inferolateral myocardial infarction. Intensive treatment of low cardiac output syndrome led to survival of both high-risk neonates. In the follow-up, at 48 and 4 months, respectively, ventricular function recovered in both patients.
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Caruso et al. (2013) conducted a case report in Neonatal acute myocardial infarction (n=2). Intensive treatment of low cardiac output syndrome was evaluated on Survival and ventricular function recovery. Intensive treatment of low cardiac output syndrome led to survival and recovery of ventricular function in two high-risk neonates with acute myocardial infarction.
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