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