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Hypoglycemia and supraventricular tachycardia in infant of diabetic mother- A possible association

Sarah Paul, S Senthil

Abstract


3 to 10 % of all pregnancies are complicated by diabetes, 90% of which is contributed by gesta-tional diabetes. Infants born to diabetic mothers with poor glycemic control are associated with high morbidity and mortality. Hypoglycemia is the common manifestation in such infants, with an incidence of 30-40 % in the immediate post-natal period 1,2.
About 10 % of infants of diabetic mothers show evidence of cardiac dysfunction, Atrioventricular block has been documented in infants of diabetic mothers (IDM) 3.Reactive hypoglycemia has been reported to trigger atrioventricular nodal reentry tachycardia in an adult 4.

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References


Widness JA. Fetal risks and neonatal complica-tions of diabetes mellitus and metabolic and en-docrine disorders. In: Brody SA, Ueland K, edi-tors. Endocrine disorders in pregnancy. Norwalk (CT): Appleton-Lang; 1989. p.273– 97.

Nold JL, Georgieff MK. Infants of diabetic mothers. Pediatr Clin North Am. 2004;51(3):625.

Soni AL, KishanJ, Baalu K et al . Congenital heart block in an infant of diabetic mother.Indian Pediatr .1986;23(8):653-4.

Rokas S, Mavrikakis M, Iliopoulou A, et al. Pro-arrhythmic effect of reactive hypoglycemia in adults. Pacing Clin Electrophysiol.1992; 15(4 pt1): 373-6.

Teuscher A, Bossi E, Imhof P et al. Effect of propranolol on fetal tachycardia in diabetic preg-nancy. Am J Cardiol.1978; 42(2): 304-7.

Chelliah YR. Ventricular arrhythmias associat-ed with hypoglycemia. Anaesth Intensive Care. 2000; 28(6): 698-700.

Garson A Jr, Gillette PC, McNamara DG. Supra-ventricular tachycardia in children: clinical fea-tures, response to treatment, and long-term fol-low-up in 217 patients. J Pediatr. 1981; 98: 875–82.


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