TY - JOUR
T1 - Echocardiographic abnormalities in infants of diabetic mothers
AU - Mace, Sharon
AU - Hirschfeld, Stephen S.
AU - Riggs, Thomas
AU - Fanaroff, Avroy A.
AU - Merkatz, Irwin R.
AU - Franklin, Wendy
N1 - Funding Information:
From the Case Western Reserve Universi 0 School oJ Medicine and Department of Pediatrics. Rainbow Babies & Childtz~ns Hospital. Supported in part by the American Heart Association, Northeast Ohio Chapter. *Reprint address: Rainbow Babies & Childrens Hospital, 2101 Adelbert Rd., Cleveland, OH 44106.
PY - 1979/12
Y1 - 1979/12
N2 - In order to evaluate the presence of myocardial hypertrophy and/or abnormalities of postnatal cardiovascular adaptation, echocardiograms were performed on 34 infants of diabetic mothers. Based on cardiopulmonary assessment, the IDM were divided into three groups: Group I with congestive heart failure predominating: Group II with respiratory distress predominating: Group III asymptomatic. Hypertrophy of the interventricular septum and of the walls of left and right ventricles was frequently present in IDM; this change was most notable in association with clinical CHF. Six IDM, four of whom were found to have CHF, had additional echocardiographic signs of subaortic stenosis. All IDM had normal indices of left ventricular performance, despite the presence of CHF. In IDM with respiratory distress, the right ventricular pre-ejection period to ventricular ejection time ratio was elevated, suggesting an abnormality of the transitional pulmonary circulation. Poor maternal diabetes control and maternal systemic hypertension were closely correlated with evidence of myocardial hypertrophy in the infants.
AB - In order to evaluate the presence of myocardial hypertrophy and/or abnormalities of postnatal cardiovascular adaptation, echocardiograms were performed on 34 infants of diabetic mothers. Based on cardiopulmonary assessment, the IDM were divided into three groups: Group I with congestive heart failure predominating: Group II with respiratory distress predominating: Group III asymptomatic. Hypertrophy of the interventricular septum and of the walls of left and right ventricles was frequently present in IDM; this change was most notable in association with clinical CHF. Six IDM, four of whom were found to have CHF, had additional echocardiographic signs of subaortic stenosis. All IDM had normal indices of left ventricular performance, despite the presence of CHF. In IDM with respiratory distress, the right ventricular pre-ejection period to ventricular ejection time ratio was elevated, suggesting an abnormality of the transitional pulmonary circulation. Poor maternal diabetes control and maternal systemic hypertension were closely correlated with evidence of myocardial hypertrophy in the infants.
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U2 - 10.1016/S0022-3476(79)80301-7
DO - 10.1016/S0022-3476(79)80301-7
M3 - Article
C2 - 159351
AN - SCOPUS:0018730904
SN - 0022-3476
VL - 95
SP - 1013
EP - 1019
JO - The Journal of Pediatrics
JF - The Journal of Pediatrics
IS - 6
ER -