[Myocardial ischemia: an unknown complication of drepanocytosis in children. Apropos of 2 case reports]

L de Pontual; P Acar; M de Montalembert; E Villain; C Maunoury; D Sidi; J Kachaner

doi:10.1016/s0929-693x(99)80206-1

[Myocardial ischemia: an unknown complication of drepanocytosis in children. Apropos of 2 case reports]

Arch Pediatr. 1999 Feb;6(2):178-81. doi: 10.1016/s0929-693x(99)80206-1.

[Article in French]

Authors

L de Pontual¹, P Acar, M de Montalembert, E Villain, C Maunoury, D Sidi, J Kachaner

Affiliation

¹ Service de cardiologie pédiatrique, hôpital Necker-Enfants-malades, Paris, France.

PMID: 10079887
DOI: 10.1016/s0929-693x(99)80206-1

Abstract

Background: Myocardial ischemia is a severe and unknown complication in children with sickle cell anemia.

Case reports: Two cases of myocardial ischemia complicated by syncope in one (8-year-old) and cardiomyopathy in the other (3-year-old) are reported.

Conclusion: Chest pain in children with sickle cell anemia should require ECG and, in case of hypokinetic cardiomyopathy, a myocardial SPECT. More aggressive therapy of sickle cell anemia should be considered in case of documented myocardial ischemia.

Publication types

Case Reports

MeSH terms

Anemia, Sickle Cell / complications*
Child
Child, Preschool
Echocardiography
Electrocardiography
Female
Humans
Male
Myocardial Infarction / etiology
Myocardial Ischemia / diagnosis
Myocardial Ischemia / diagnostic imaging
Myocardial Ischemia / etiology*
Radiography, Thoracic
Tomography, Emission-Computed, Single-Photon