Document Detail


Sudden infant death syndrome: a testable hypothesis and mechanism.
MedLine Citation:
PMID:  536116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Sudden Infant Death Syndrome (SIDS) is the most frequent cause of death in infants aged between one month and one year, yet its cause remains unknown. The present hypothesis is that most infants who die of SIDS have an abnormality of the catecholaminergic system, possible genetically determined, which results in a decreased thermogenic response to cold, owing to a deficiency in noradrenaline (NA), which eventually results in severe hypothermia. A series of complex, but interrelated reactions of the infant to the hypothermia and its consequences leads to death. The final mechanism of regulatory failure involves a deterioration of cardiorespiratory function resulting from hypoxia, metabolic acidosis and hypoglycemia. The etiology of "near miss" for SIDS is also unknown. It is postulated that these infants have a similar but milder deficiency which may be due, in part, to genetic factors. Determinations of central and peripheral catecholamines in "near miss" and normal infants will be performed to test this hypothesis.
Authors:
A C Cornwell
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The International journal of neuroscience     Volume:  10     ISSN:  0020-7454     ISO Abbreviation:  Int. J. Neurosci.     Publication Date:  1979  
Date Detail:
Created Date:  1980-05-14     Completed Date:  1980-05-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0270707     Medline TA:  Int J Neurosci     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  31-44     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acidosis / complications
Anoxia / complications
Apnea / complications
Body Temperature Regulation
Cold Temperature / adverse effects
Heart Arrest / etiology
Humans
Hypoglycemia / complications
Hypothermia / complications
Infant
Lung / blood supply
Models, Biological
Norepinephrine / deficiency
Receptors, Adrenergic / physiology
Respiratory Insufficiency / etiology
Sudden Infant Death / etiology*
Vasoconstriction
Chemical
Reg. No./Substance:
0/Receptors, Adrenergic; 51-41-2/Norepinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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