Myocardial Ischemia: An Unknown Complication In Sickle Cell Anemia In Children.

Background, - Myocardial ischemia is a severe and unknown complication in children with sickle cell anemia.Case reports, - Two cases of myocardial ischemia complicated by syncope in one (8-year-old) and cardiomyopathy in the ether (3-year-old) are reported.Conclusion. - Chest pain in children with sickle cell anemia should require ECG and, in case of hypokinetic cardiomyopathy, a myocardial SPECT. More agressive therapy of sickle cell anemia should be considered in case of documented myocardial ischemia. (C) 1999 Elsevier, Paris.