0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Left Ventricular Myocardial Infarction in Tetralogy of Fallot

MOHAMMAD MEHRAN-POUR, MD; STEPHEN HIRSCHFELD, MD; MARY FRANCIOLI, MD; JEROME LIEBMAN, MD
Am J Dis Child. 1978;132(12):1217-1218. doi:10.1001/archpedi.1978.02120370069019.
Text Size: A A A
Published online

Myocardial infarction (MI) is relatively infrequent in infants and children, although its association with anomalous origin of the left coronary artery and other congenital cardiac anomalies that result in coronary hypoperfusion is well known.1

Although MI has also been reported in some congenital heart defects without coronary artery abnormalities,2-4 massive MI of the left ventricle in tetralogy of Fallot (TOF) has not, to our knowledge, been reported.

Report of a Case.—An 8-month-old girl had been followed up elsewhere with the clinical diagnosis of TOF. Although moderately cyanotic, she had no history of hypoxic spells. On the morning of admission, she had an hypoxic spell. Because of poor response to conventional therapy, ie, knee-chest position, sodium bicarbonate, and morphine, she was transferred to our institution. On arrival, she was cool and blue-gray; heart rate was 150 beats per minute; respirations, 80/min; and blood pressure, 60/40 mm Hg. There

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();