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Stress Transient Hypertrophic Cardiomyopathy and B-Type Natriuretic Peptide Role

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Abstract

This report describes a transient hypertrophic cardiomyopathy with right-ventricle outlet tract obstruction (RVOTO) induced by perinatal stress due to a major surgical procedure in a female newborn with congenital abnormalities. On day 10, she presented with heart failure, abnormal B-type natriuretic peptide (BNP), and an echocardiogram showing normal wall thickness. An in-hospital follow-up echocardiogram showed biventricular hypertrophy and RVOTO. At discharge, the infant was asymptomatic, with a normal echocardiogram and BNP. Transient RVOTO triggered by surgical stress and abnormal BNP have not been reported previously. Pathophysiology, the role of BNP, and clinical characteristics are discussed.

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Acknowledgments

The authors appreciate the editorial assistance of Sophie Rushton-Smith, PhD, Publications Specialist for MedLink (http://www.medlink.org.uk), Technical Editor for the Archives of Cardiovascular Diseases, Senior Academic Fellow of the Thrombosis Research Institute, and Fellow of the Royal Society of Medicine.

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Authors and Affiliations

  1. Pediatric Cardiology Department, Instituto de Cardiologia y Medicina Vascular del Tec de Monterrey, Monterrey, NL, Mexico

    Jesus Yañez

  2. Medicine School “Ignacio Santos”, Tec de Monterrey, Monterrey, NL, Mexico

    David Rodriguez, Cristina Treviño & Adriana Valdez

  3. Instituto de Cardiologia y Medicina Vascular del Tec de Monterrey, Morones Prieto 3000, CITES 2° Nivel Ote, Colonia Los Doctores, 64710, Monterrey, NL, Mexico

    Carlos Jerjes-Sanchez

Authors
  1. Jesus Yañez
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  2. David Rodriguez
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  3. Cristina Treviño
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  4. Adriana Valdez
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  5. Carlos Jerjes-Sanchez
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Corresponding author

Correspondence to Carlos Jerjes-Sanchez.

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Video 1 Echocardiogram showing right-ventricle outlet tract obstruction. (MOV 1701 kb)

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Yañez, J., Rodriguez, D., Treviño, C. et al. Stress Transient Hypertrophic Cardiomyopathy and B-Type Natriuretic Peptide Role. Pediatr Cardiol 34, 702–706 (2013). https://doi.org/10.1007/s00246-012-0317-5

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  • DOI: https://doi.org/10.1007/s00246-012-0317-5

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