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CARDIOMIOPATIA HIPERTRÓFICA EM RECÉM-NASCIDOS E DIABETES MATERNA

CARDIOMIOPATIA HIPERTRÓFICA EM RECÉM-NASCIDOS E DIABETES MATERNA

Amel Ben Hamad / Nadia Kolsi / Rania Gargouri

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Editorial:
KS OmniScriptum Publishing
Año de edición:
2024
Materia
Medicina: cuestiones generales
ISBN:
9786208090333
55,28 €
IVA incluido
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Aproximadamente 3-6% dos recém-nascidos de mães diabéticas (NNMD) têm anomalias cardiovasculares. A cardiomiopatia hipertrófica (CMH) é a doença cardíaca mais comum, sendo responsável por 40% das anomalias cardiovasculares. A sua incidência, muitas vezes subestimada devido à frequência de formas assintomáticas, varia entre 30 e 40%.A CMH de NNMD é induzida principalmente pelo hiperinsulinismo fetal secundário à hiperglicemia materna. Caracteriza-se por uma hipertrofia desproporcionada do coração: hipertrofia do septo interventricular (SIV) devido ao seu elevado teor de receptores de insulina e das paredes ventriculares livres. Clinicamente, a CMH pode ser completamente assintomática, como se observa na ecografia cardíaca, ou manifestar-se como insuficiência cardíaca congestiva devido à obstrução da via de ejeção do ventrículo esquerdo. Qualquer que seja a sua gravidade, a hipertrofia cardíaca é transitória, com resolução ecocardiográfica por volta dos seis meses de idade em todos os casos.

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