Neonatal myocardial infarction: a rare and complex entity

Nancy Laval (1,2), David Bienjonetti-Boudreau (3), Joaquim Miro (3), Sophie Tremblay (1), Christophe Vô (3,4) Published in the journal : May 2023 Category : Neonatology

Summary :

Although myocardial infarction is a major cause of death worldwide, this pathology is uncommon in pediatrics and mainly occurs during the neonatal period. There are very few cases described in the literature. While multiple recommendations exist in the field of adult cardiology, there is no real worldwide consensus on myocardial infarction management in young children, although some etiologies are well established. This article describes a case of complex neonatal resuscitation in a newborn with a confirmed diagnosis of myocardial infarction during the first day of life. This case report will provide a recent literature review on this topic and establish optimized therapeutic management.

What does this article bring up for us?

- Description of a rare case of perinatal neonatal infarction
- Literature review and recommendations for therapeutic management during the neonatal period

What is already known about the topic?

- Very rare pathology in children with unestablished prevalence
- Identified causes but the origin is often idiopathic
- No consensus on therapeutic management

Key Words

Neonatal myocardial infarction, neonatal myocarditis, asphyxia, neonatal infarction