Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 52 7 2014 07 15 575 577 EN Pranab Kumar Dey Department of Pediatrics, Midnapur Medical College, West Bengal, India. Biswajit Mondal Department of Pediatrics, Medical College, Kolkata, West Bengal, India. Nilay Ranjan Bagchi Department of Pediatrics, Medical College, Kolkata, West Bengal, India. 2015 10 11 Neonatal respiratory distress is a very common problem in our practice. The causes may be respiratory, cardiovascular, central, metabolic, haematological and surgical. The cause of distress due to transient myocardial depression is not very common in mild asphyxia. We present a case having transient myocardial depression with severe respiratory distress and features of shock in a mild asphyxiated baby. https://acta.tums.ac.ir/index.php/acta/article/view/4572 https://acta.tums.ac.ir/index.php/acta/article/download/4572/4518