An acute myocardial infarction (AMI) may rarely occur in a neonate and result in hypotension or cardiogenic shock. Diagnosis and specific therapy may be delayed if the diagnosis is not suspected.
Conditions associated with a neonatal myocardial infarction:
(1) hypercoagulative state, especially homozygous hereditary state
(2) myocarditis (enterovirus, other)
(3) perinatal asphyxia
(4) erythroblastosis
(5) thromboembolism (associated with an umbilical venous or other catheter, from another source)
(6) air embolism (associated with an umbilical venous or other catheter)
(7) anomaly of the coronary arteries
(8) vasculitis
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