Enfarte Agudo do Miocárdio na Criança

• Author(s): Martins, V ; Macedo, AJ ; Kaku, S ; Pinto, MF ; Pinto, E ; Nunes, MA ; Zarcos, MM ; Nascimento, MC ; Duarte, L ; Videira-Amaral, J ; Lima, M
• Date: 1996
• Persistent ID: http://hdl.handle.net/10400.17/183
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): Testes Clínicos de Enzimas; Ecocardiografia; Electrocardiografia; Enfarte do Miocárdio; Miocárdio; Radiografia Torácica; Estudos Retrospectivos; HSM CAR PED
• Document Type: Article
• Language: Portuguese

Description

A retrospective study was made of 6 children, with nonsurgical-related acute myocardial infarction (AMI), between January 1987 and December 1994. The ratio for gender was 1 and mean age at AMI was 49 days, 4 cases being associated with congenital heart disease (Fallot's tetralogy, truncus arteriosus and DiGeorge syndrome, one case each, and anomalous origin of left coronary artery, 2 cases). Kawasaki disease and coronary embolisation from thrombosis of the renal vein occurred in the other 2 cases respectively. All developed congestive cardiac failure and cardiomegaly. In the ECG pathologic q waves with more than 35 msec occurred in all, and QT prolongation occurred in 3. Five children (83%) all with AMI in the anterior and lateral wall of the left ventricle died, death being related with cardiac mechanical failure and not with arrhythmias.