The Association of Maternal Glycemic Control with Hypertrophic Cardiomyopathy in Infants of Diabetic Mothers

Background: Infants of Diabetic Mothers (IDMs) are at known risk for the development hypertrophic cardiomyopathy (HCM). Echocardiography is essential diagnosis HCM, to assess left ventricular function, and degree ventricle obstruction, rule out structural cardiac malformations.
 Objective: To study association maternal third-trimester glycemic level with HCM in IDMs.
 Study Design: Observational cross-sectional study.
 Participants: 108 diabetic mothers Intervention: Third-trimester Glycosylated hemoglobin (HbA1c) levels were measured was done IDMs their first week life. Data analyzed correlations between various parameters.
 Outcomes: diagnosed when absolute value Inter Ventricular Septum (IVS) ≥ 2SD from mean (5mm) Asymmetrical Septal Hypertrophy (ASH) IVS: LVPW ratio 1.3.
 Results: 85% population had gestational diabetes, 55.6% them on diet control only. The HbA1c 6.69%. birth weight 3.1 kg. most common complication observed hypoglycemia (19.4%). Asymptomatic seen 52% ASH 25.9% population. found be significantly associated levels, hypoglycemia.
 Conclusion: a frequent finding routinely screened by echocardiography. A significant positive our hence strict during pregnancy paramount significance.