Hypertrophic Cardiomyopathy in Infant of Diabetic Mother. |
Jeong Sam Jeon, Soo Chun Kim, Chong Woo Bae, Sung Ho Cha, Chang Il Ahn |
Department of Pediatraics, College of Medicine, Kyung Hee University, Seoul, Korea |
당뇨병 모체에서 태어난 신생아에서의
비후성 심근증 1례 |
전정삼, 김수천, 배종우, 차성호, 안창일 |
경희대학교 의과대학 소아과학교실 |
Received: 25 January 1989 • Accepted: 20 March 1989 |
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Abstract |
Generally, infant of diabetic mother (IDM) have complex multisystems disease resulting in a high
incidence of perinatal morbidity and mortality. Hypertrophic cardiomyopathy (HCM)-IDM appears
as the early onset, transient and non-familial cariomyopathy in neonatal period. The etiology of the
left ventricular outflow obstruction in these neonates is not clear. But, it is possible that the
asymmetrical septal hypertrophy was a manifestation of the generalized organomegaly. The natural
history of HCM-IDM appears to be benign with a spontaneous resolution of symtoms within 1 to 4
weeks and a spontaneous resolution of septal hypertrophy within 3 to 5 months. Most of the infants
need only supportive care.
We experienced 1 case of HCM-IDM in a male newborn who was delivered to a 27 years old woman
by cesarean section with birth weight 5000 gm. His mother has been suffering from class B diabetes.
We confirmed HCM-IDM on clinical manifestation, EKG, and echocardiogram.
A review of literatures was also attempted briefly. |
Key Words:
Hypertrophic cardiomyopathy, Infant of diabetic mother |
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