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All issues > Volume 32(8); 1989

Original Article
J Korean Pediatr Soc. 1989;32(8):1138-1143. Published online August 31, 1989.
Hypertrophic Cardiomyopathy in Infant of Diabetic Mother.
Jeong Sam Jeon1, Soo Chun Kim1, Chong Woo Bae1, Sung Ho Cha1, Chang Il Ahn1
1Department of Pediatraics, College of Medicine, Kyung Hee University, Seoul, Korea
Received: January 25, 1989;  Accepted: March 20, 1989.
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.

Keywords :Hypertrophic cardiomyopathy, Infant of diabetic mother

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