Abstract
Papillary muscle necrosis was found in 24 of 84 neonates without congenital heart disease who died and were autopsied during a 17-month study period. The lesion was most prevalent in infants ≥3,000 gm birth weight (59%), but papillary muscle necrosis was also noted in 25% of the infants of medium birth weight (1,500 to 2,999 gm) and in 19% of the very low-birth-weight infants (<1,500 gm). Papillary muscle necrosis in the highest birth-weight group correlated with five-minute Apgar scores of 6 or less, meconium aspiration syndrome, seizures, congestive heart failure, increased cardiothoracic ratio (≥0.60), and ischemic changes on electrocardiogram. In the medium- and very low-birth-weight groups, however, patients with papillary muscle necrosis could seldom be differentiated clinically from their birth-weight peers without the lesion, even in retrospect.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 289-294 |
| Number of pages | 6 |
| Journal | The Journal of pediatrics |
| Volume | 96 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 1 1980 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Papillary muscle necrosis in a neonatal autopsy population : Incidence and associated clinical manifestations. / Behrman, Richard E.; Bandstra, Emmalee S; Ermocilla, Rufino; Tonkin, Ina; John, Elizabeth; Sansa, Mara; Cassady, George.
In: The Journal of pediatrics, Vol. 96, No. 2, 01.01.1980, p. 289-294.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Papillary muscle necrosis in a neonatal autopsy population
T2 - Incidence and associated clinical manifestations
AU - Behrman, Richard E.
AU - Bandstra, Emmalee S
AU - Ermocilla, Rufino
AU - Tonkin, Ina
AU - John, Elizabeth
AU - Sansa, Mara
AU - Cassady, George
PY - 1980/1/1
Y1 - 1980/1/1
N2 - Papillary muscle necrosis was found in 24 of 84 neonates without congenital heart disease who died and were autopsied during a 17-month study period. The lesion was most prevalent in infants ≥3,000 gm birth weight (59%), but papillary muscle necrosis was also noted in 25% of the infants of medium birth weight (1,500 to 2,999 gm) and in 19% of the very low-birth-weight infants (<1,500 gm). Papillary muscle necrosis in the highest birth-weight group correlated with five-minute Apgar scores of 6 or less, meconium aspiration syndrome, seizures, congestive heart failure, increased cardiothoracic ratio (≥0.60), and ischemic changes on electrocardiogram. In the medium- and very low-birth-weight groups, however, patients with papillary muscle necrosis could seldom be differentiated clinically from their birth-weight peers without the lesion, even in retrospect.
AB - Papillary muscle necrosis was found in 24 of 84 neonates without congenital heart disease who died and were autopsied during a 17-month study period. The lesion was most prevalent in infants ≥3,000 gm birth weight (59%), but papillary muscle necrosis was also noted in 25% of the infants of medium birth weight (1,500 to 2,999 gm) and in 19% of the very low-birth-weight infants (<1,500 gm). Papillary muscle necrosis in the highest birth-weight group correlated with five-minute Apgar scores of 6 or less, meconium aspiration syndrome, seizures, congestive heart failure, increased cardiothoracic ratio (≥0.60), and ischemic changes on electrocardiogram. In the medium- and very low-birth-weight groups, however, patients with papillary muscle necrosis could seldom be differentiated clinically from their birth-weight peers without the lesion, even in retrospect.
UR - http://www.scopus.com/inward/record.url?scp=0018835376&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0018835376&partnerID=8YFLogxK
U2 - 10.1016/S0022-3476(80)80832-8
DO - 10.1016/S0022-3476(80)80832-8
M3 - Article
C2 - 7188702
AN - SCOPUS:0018835376
VL - 96
SP - 289
EP - 294
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
IS - 2
ER -