HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY AS A SIDE-EFFECT OF DEXAMETHASONE TREATMENT FOR BRONCHOPULMONARY DYSPLASIA

被引:30
作者
BRAND, PLP
VANLINGEN, RA
BRUS, F
TALSMA, MD
ELZENGA, NJ
机构
[1] UNIV GRONINGEN HOSP,BEATRIX CHILDRENS CLIN,DIV NEONATOL,OOSTERSINGEL 59,9713 EZ GRONINGEN,NETHERLANDS
[2] UNIV GRONINGEN HOSP,BEATRIX CHILDRENS CLIN,DIV PEDIAT CARDIOL,9713 EZ GRONINGEN,NETHERLANDS
关键词
BRONCHOPULMONARY DYSPLASIA; DEXAMETHASONE; HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY;
D O I
10.1111/j.1651-2227.1993.tb12771.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We report three infants who developed hypertrophic obstructive cardiomyopathy during dexamethasone treatment for bronchopulmonary dysplasia. In all three infants, echocardiography had ruled out cardiac abnormalities prior to the dexamethasone course. The hypertrophic obstructive cardiomyopathy appeared and progressed during dexamethasone therapy and resolved completely after its cessation. This suggests a causative association between the hypertrophic obstructive cardiomyopathy and the exogenous glucocorticosteroid therapy. The mechanism of this dexamethasone-related hypertrophic obstructive cardiomyopathy is unclear. This complication may be encountered more frequently with the increasing use of dexamethasone in infants with bronchopulmonary dysplasia.
引用
收藏
页码:614 / 617
页数:4
相关论文
共 21 条
[11]  
MARON BJ, 1989, HEART DISEASE INFANT, P940
[12]  
MELNICK G, 1980, PEDIATRICS, V66, P589
[13]   ANTI-INFLAMMATORY STEROIDS REDUCE TISSUE PG SYNTHETASE-ACTIVITY AND ENHANCE PG BREAKDOWN [J].
MOORE, PK ;
HOULT, JRS .
NATURE, 1980, 288 (5788) :269-270
[14]  
MORRIS HG, 1983, ALLERGY PRINCIPLES P, P593
[15]  
OBERHOFFER R, 1988, WIEN KLIN WOCHENSCHR, V100, P797
[16]   DEXAMETHASONE TREATMENT DURING VENTILATOR DEPENDENCY - POSSIBLE LIFE THREATENING GASTROINTESTINAL COMPLICATIONS [J].
ONEIL, EA ;
CHWALS, WJ ;
OSHEA, MD ;
TURNER, CS .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1992, 67 (01) :10-11
[17]  
ROBERTS JJ, 1984, DRUG THERAPY INFANTS, P297
[18]   HYPERTROPHIC CARDIOMYOPATHY ASSOCIATED WITH DEXAMETHASONE THERAPY FOR BRONCHOPULMONARY DYSPLASIA [J].
WERNER, JC ;
SICARD, RE ;
HANSEN, TWR ;
SOLOMON, E ;
COWETT, RM ;
OH, W .
JOURNAL OF PEDIATRICS, 1992, 120 (02) :286-291
[19]   EFFECT OF DEXAMETHASONE ON PULMONARY INFLAMMATION AND PULMONARY-FUNCTION OF VENTILATOR-DEPENDENT INFANTS WITH BRONCHOPULMONARY DYSPLASIA [J].
YODER, MC ;
CHUA, R ;
TEPPER, R .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 143 (05) :1044-1048
[20]   CARDIAC-HYPERTROPHY ASSOCIATED WITH ACTH THERAPY FOR CHILDHOOD SEIZURE DISORDER [J].
YOUNG, RSK ;
FRIPP, RR ;
STERN, DR ;
DAROWISH, C .
JOURNAL OF CHILD NEUROLOGY, 1987, 2 (04) :311-312