Perinatal renal ischemia resulting in hypertensive cardiomyopathy

Jeffrey M. Saland, Lynn Mahony, Michel Baum

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Three neonates presented with malignant hypertension during the first week of life; 2 of them had congestive heart failure. Although none had indwelling umbilical artery catheters, unilateral renovascular lesions were diagnosed by nuclear perfusion scans. Angiotensin-converting enzyme inhibitor therapy produced rapid recovery. Hypertension must be included in the differential diagnosis of infants presenting with congestive heart failure and acidosis. Ultrasonography is not sensitive enough to exclude renovascular lesions. We emphasize the importance of early diagnosis and treatment.

Original languageEnglish (US)
Pages (from-to)185-187
Number of pages3
JournalPediatrics
Volume107
Issue number1
DOIs
StatePublished - Jan 30 2001

Keywords

  • Congestive heart failure
  • Converting enzyme inhibitors
  • Neonatal
  • Renal artery stenosis
  • Renovascular hypertension

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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