Echocardiographic abnormalities in infants of diabetic mothers

Sharon Mace, Stephen S. Hirschfeld, Thomas Riggs, Avroy A. Fanaroff, Irwin R. Merkatz, Wendy Franklin

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1013-1019
Number of pages7
JournalThe Journal of Pediatrics
Volume95
Issue number6
DOIs
StatePublished - Dec 1979
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Mace, S., Hirschfeld, S. S., Riggs, T., Fanaroff, A. A., Merkatz, I. R., & Franklin, W. (1979). Echocardiographic abnormalities in infants of diabetic mothers. The Journal of Pediatrics, 95(6), 1013-1019. https://doi.org/10.1016/S0022-3476(79)80301-7