Hypertrophic obstructive cardiomyopathy in an infant of a diabetic mother: support by extracorporeal membrane oxygenation and treatment with beta-adrenergic blockade and increased intravenous fluid administration

ASAIO J. 1998 Nov-Dec;44(6):845-7.

Abstract

In infants with hypertrophic obstructive cardiomyopathy (HOCM) on extracorporeal membrane oxygenation (ECMO), conventional treatment with inotropes, fluid restriction, and diuretics may be detrimental. This case reports an infant of a diabetic mother with HOCM on ECMO illustrating beneficial effects of beta adrenergic blockade and increased fluid administration.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use*
  • Cardiomyopathy, Hypertrophic / therapy*
  • Extracorporeal Membrane Oxygenation*
  • Female
  • Fluid Therapy*
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Pregnancy in Diabetics / complications*
  • Propanolamines / therapeutic use*

Substances

  • Adrenergic beta-Antagonists
  • Propanolamines
  • esmolol