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Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital

Received: 21 March 2023    Accepted: 17 April 2023    Published: 10 May 2023
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Abstract

Introduction: The association between cardiac hypertrophy and hyperinsulinism is mainly observed in the newborn, although the onset in older infants has also been described. The aim of our study is to research a cardiac hypertrophy in newborns of diabetic mothers. Methodology: This was a cross-sectional study, involving one hundred and twenty (120) newborns of diabetic mothers from August 1st to November 30, 2020. These newborns of diabetic mothers had received an echocardiographic examination at the laboratory of the FARHAT HACHED University Hospital in Sousse (Tunisia) regardless of the associated cardiac or extracardiac pathology, during the study period, to detect cardiac hypertrophy. Results: The sex ratio was in favor of the female gender at 0.90. The average weight was 3554.04 g, with extremes ranging from 1,600 g to 5,200 g. Twelve (12) newborns had a weight greater than or equal to 4,000 g (10.00% of macrosomes). Among mothers, there were 03 types of diabetes: type 1 diabetes (2.65%), type 2 diabetes (0.88%) and gestational diabetes (96.46%). Echocardiography was normal in 91 neonates (75.83%) and abnormal in 29 neonates (24.17%). The prevalence of cardiac hypertrophy was 09.17% and that of other associated cardiac abnormalities was 21.66%. There were 11 cases of patent foramen ovale, 11 cases of patent ductus arteriosus, 02 cases of ostium secundum atrial septal defect, 01 case of interrupted aortic arch, 01 case of pulmonary stenosis. These abnormalities were associated on the one hand with the septal hypertrophy and on the other hand, associated with each other in the same newborn. Left ventricular ejection function was normal in all neonates with an average of 66% and extremes between 59% and 76%. Conclusion: Cardiac hypertrophy described in the newborn of diabetic mother is characterized by hypertrophy of the ventricular walls more often predominating over the septum. Transthoracic echocardiography is the reference (non-invasive) technique for diagnosing and monitoring these hypertrophies.

Published in Cardiology and Cardiovascular Research (Volume 7, Issue 2)
DOI 10.11648/j.ccr.20230702.11
Page(s) 22-27
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cardiac Hypertrophy, Newborns, Diabetic Mothers, Echocardiography

References
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[8] D. Boiroa, M. Guéyea, N. Seckb, A. A. Ndongoc, A. Thionganed, B. Niangd, Y. J. Diengd, F. Bivahagumyea, I. D. Bad, I. Bassee, D. Diédhioua, P. M. Fayed, O. Ndiayed. Journal de Pédiatrie et de Puériculture: Les nouveau-nés de mère diabétique au service de néonatologie du CHU de Dakar (Sénégal). (2017) 30, 150 - 155.
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[16] Hassan Esmaeili, Bagher Pahlavanzade, Mohsen Ebrahimi and al (2020). Effect of Gestational Diabetes on Interventricular Septum Thickness in Newborns in the Golestan Province, Iran. Journal of Clinical and Basic Research (JCBR). 2020; 4 (1): 1-5.
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[18] Deorari AK, Saxena A, Singh M, Shrivastava S (1989). Echocardiographic assessment of infants born to diabetic mothers. Arch Dis Child 64: 721 - 724.
[19] Huang T, Kelly A, Becker SA et al (2013) Hypertrophic cardiomyopathy in neonates with congenital hyperinsulinism. Arch Dis childhoodFetal neonatal Ed. https://doi.org/10.1136/archdischild-2012-302546
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    Dari Mossi Mahamadou, Dodo Boubacar, Ben Abdessalem Mohamed Aymen, Mghirbi Oussama, Saley Hammadou, et al. (2023). Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital. Cardiology and Cardiovascular Research, 7(2), 22-27. https://doi.org/10.11648/j.ccr.20230702.11

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    ACS Style

    Dari Mossi Mahamadou; Dodo Boubacar; Ben Abdessalem Mohamed Aymen; Mghirbi Oussama; Saley Hammadou, et al. Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital. Cardiol. Cardiovasc. Res. 2023, 7(2), 22-27. doi: 10.11648/j.ccr.20230702.11

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    AMA Style

    Dari Mossi Mahamadou, Dodo Boubacar, Ben Abdessalem Mohamed Aymen, Mghirbi Oussama, Saley Hammadou, et al. Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital. Cardiol Cardiovasc Res. 2023;7(2):22-27. doi: 10.11648/j.ccr.20230702.11

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  • @article{10.11648/j.ccr.20230702.11,
      author = {Dari Mossi Mahamadou and Dodo Boubacar and Ben Abdessalem Mohamed Aymen and Mghirbi Oussama and Saley Hammadou and Maliki Abdoulaye Moctar and Souley Kimba and Bonkano Ali and Mahdhaoui Abdallah and Mahdhaoui Nabiha and Ernez Hajri Samia and Toure Ali Ibrahim},
      title = {Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital},
      journal = {Cardiology and Cardiovascular Research},
      volume = {7},
      number = {2},
      pages = {22-27},
      doi = {10.11648/j.ccr.20230702.11},
      url = {https://doi.org/10.11648/j.ccr.20230702.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20230702.11},
      abstract = {Introduction: The association between cardiac hypertrophy and hyperinsulinism is mainly observed in the newborn, although the onset in older infants has also been described. The aim of our study is to research a cardiac hypertrophy in newborns of diabetic mothers. Methodology: This was a cross-sectional study, involving one hundred and twenty (120) newborns of diabetic mothers from August 1st to November 30, 2020. These newborns of diabetic mothers had received an echocardiographic examination at the laboratory of the FARHAT HACHED University Hospital in Sousse (Tunisia) regardless of the associated cardiac or extracardiac pathology, during the study period, to detect cardiac hypertrophy. Results: The sex ratio was in favor of the female gender at 0.90. The average weight was 3554.04 g, with extremes ranging from 1,600 g to 5,200 g. Twelve (12) newborns had a weight greater than or equal to 4,000 g (10.00% of macrosomes). Among mothers, there were 03 types of diabetes: type 1 diabetes (2.65%), type 2 diabetes (0.88%) and gestational diabetes (96.46%). Echocardiography was normal in 91 neonates (75.83%) and abnormal in 29 neonates (24.17%). The prevalence of cardiac hypertrophy was 09.17% and that of other associated cardiac abnormalities was 21.66%. There were 11 cases of patent foramen ovale, 11 cases of patent ductus arteriosus, 02 cases of ostium secundum atrial septal defect, 01 case of interrupted aortic arch, 01 case of pulmonary stenosis. These abnormalities were associated on the one hand with the septal hypertrophy and on the other hand, associated with each other in the same newborn. Left ventricular ejection function was normal in all neonates with an average of 66% and extremes between 59% and 76%. Conclusion: Cardiac hypertrophy described in the newborn of diabetic mother is characterized by hypertrophy of the ventricular walls more often predominating over the septum. Transthoracic echocardiography is the reference (non-invasive) technique for diagnosing and monitoring these hypertrophies.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Cardiac Hypertrophy in Neonates Born to Diabetic Mothers at Farhat Hached of Sousse University Hospital
    AU  - Dari Mossi Mahamadou
    AU  - Dodo Boubacar
    AU  - Ben Abdessalem Mohamed Aymen
    AU  - Mghirbi Oussama
    AU  - Saley Hammadou
    AU  - Maliki Abdoulaye Moctar
    AU  - Souley Kimba
    AU  - Bonkano Ali
    AU  - Mahdhaoui Abdallah
    AU  - Mahdhaoui Nabiha
    AU  - Ernez Hajri Samia
    AU  - Toure Ali Ibrahim
    Y1  - 2023/05/10
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ccr.20230702.11
    DO  - 10.11648/j.ccr.20230702.11
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 22
    EP  - 27
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20230702.11
    AB  - Introduction: The association between cardiac hypertrophy and hyperinsulinism is mainly observed in the newborn, although the onset in older infants has also been described. The aim of our study is to research a cardiac hypertrophy in newborns of diabetic mothers. Methodology: This was a cross-sectional study, involving one hundred and twenty (120) newborns of diabetic mothers from August 1st to November 30, 2020. These newborns of diabetic mothers had received an echocardiographic examination at the laboratory of the FARHAT HACHED University Hospital in Sousse (Tunisia) regardless of the associated cardiac or extracardiac pathology, during the study period, to detect cardiac hypertrophy. Results: The sex ratio was in favor of the female gender at 0.90. The average weight was 3554.04 g, with extremes ranging from 1,600 g to 5,200 g. Twelve (12) newborns had a weight greater than or equal to 4,000 g (10.00% of macrosomes). Among mothers, there were 03 types of diabetes: type 1 diabetes (2.65%), type 2 diabetes (0.88%) and gestational diabetes (96.46%). Echocardiography was normal in 91 neonates (75.83%) and abnormal in 29 neonates (24.17%). The prevalence of cardiac hypertrophy was 09.17% and that of other associated cardiac abnormalities was 21.66%. There were 11 cases of patent foramen ovale, 11 cases of patent ductus arteriosus, 02 cases of ostium secundum atrial septal defect, 01 case of interrupted aortic arch, 01 case of pulmonary stenosis. These abnormalities were associated on the one hand with the septal hypertrophy and on the other hand, associated with each other in the same newborn. Left ventricular ejection function was normal in all neonates with an average of 66% and extremes between 59% and 76%. Conclusion: Cardiac hypertrophy described in the newborn of diabetic mother is characterized by hypertrophy of the ventricular walls more often predominating over the septum. Transthoracic echocardiography is the reference (non-invasive) technique for diagnosing and monitoring these hypertrophies.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Internal Medicine and Cardiology Department, National Hospital Amirou Boubacar Diallo, Niamey, Niger

  • Internal Medicine and Cardiology Department, National Hospital Amirou Boubacar Diallo, Niamey, Niger

  • Cardiology Department, University Hospital Farhat Hached, Sousse, Tunisia

  • Neonatal Department, University Hospital Farhat Hached, Sousse, Tunisia

  • Internal Medicine and Cardiology Department, National Hospital Amirou Boubacar Diallo, Niamey, Niger

  • Cardiology Department, National Hospital, Niamey, Niger

  • Internal Medicine and Cardiology Department, National Hospital Amirou Boubacar Diallo, Niamey, Niger

  • Cardiology Department, Regional Hospital, Tahoua, Niger

  • Cardiology Department, University Hospital Farhat Hached, Sousse, Tunisia

  • Neonatal Department, University Hospital Farhat Hached, Sousse, Tunisia

  • Cardiology Department, University Hospital Farhat Hached, Sousse, Tunisia

  • Internal Medicine and Cardiology Department, National Hospital Amirou Boubacar Diallo, Niamey, Niger

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