Batisse A, Piechaud J F, Fermont L, Kachaner J
Sem Hop. 1982 Mar 4;58(9):531-7.
Myocardial ischemia is very rare in childhood but, as in the adult, it can result in very severe heart failure. The discovery of specific signs on the electrocardiogram provides a diagnostic orientation which can be confirmed by biologic data and radionuclide scans. The causes of the affections are related to the child's age group : severe fetal and neonatal anoxia in the neonate (transient myocardial ischemia syndrome) ; anomalous origin of the left coronary artery in the young infant ; acquired coronary anomalies of Kawasaki's disease in the older infant or the young child.
心肌缺血在儿童时期非常罕见,但与成人一样,它可导致非常严重的心力衰竭。心电图上特定体征的发现提供了一种诊断方向,这可通过生物学数据和放射性核素扫描得到证实。这些病症的病因与儿童的年龄组有关:新生儿期严重的胎儿和新生儿缺氧(短暂性心肌缺血综合征);幼儿期左冠状动脉异常起源;较大婴儿或幼儿期川崎病导致的后天性冠状动脉异常。