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1.
Rev Med Liege ; 75(1): 43-48, 2020 Jan.
Artigo em Francês | MEDLINE | ID: mdl-31920043

RESUMO

Ebstein's anomaly is a rare and complex congenital heart disease involving abnormal embryological development of the tricuspid valve. Its exact prevalence remains unknown given the under-diagnosis of minor forms and the broad clinical spectrum of this pathology resulting from the highly variable tricuspid morphology. Echocardiography plays an important role in diagnosis, assessment and prognostic evaluation of this condition. We present the case of a 6-year-old boy born from a twin pregnancy with a severe neonatal EA diagnosed by ultrasound at 29 weeks of gestation and we discuss the management on the light of the recent literature.


Assuntos
Anomalia de Ebstein , Criança , Anomalia de Ebstein/diagnóstico , Anomalia de Ebstein/cirurgia , Ecocardiografia , Feminino , Humanos , Masculino , Gravidez , Diagnóstico Pré-Natal , Valva Tricúspide
2.
Eur J Pediatr ; 153(11): 793-6, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7843191

RESUMO

Adenosine is an endogenous nucleoside acting on coronary perfusion and myocardial conduction. Although the anti-arrhythmic effects of adenosine have been known for decades, interest in the use of adenosine or adenosine-triphosphate (ATP) (a precursor of adenosine) in termination of supraventricular tachycardia (SVT) has been renewed. We studied the use of striadyne (ATP and a mixture of other nucleosides including adenosine) in 22 infants younger than 6 months in order to evaluate efficiency and safety of the drug in this particular age group. Striadyne stopped SVT in 17 cases and was diagnostic in another 4 cases. Ten out of 17 successfully converted infants showed one or more reinitiations of SVT, which were easily controlled. The results support the efficiency of ATP for the termination of re-entry types of tachycardia, as well as its diagnostic value and its lack of serious side-effects.


Assuntos
Trifosfato de Adenosina/uso terapêutico , Antiarrítmicos/uso terapêutico , Taquicardia Supraventricular/tratamento farmacológico , Trifosfato de Adenosina/administração & dosagem , Antiarrítmicos/administração & dosagem , Pré-Escolar , Eletrocardiografia , Humanos , Lactente , Recém-Nascido , Injeções Intravenosas , Taquicardia Supraventricular/diagnóstico , Resultado do Tratamento
3.
Eur J Pediatr ; 153(9): 668-71, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7957427

RESUMO

UNLABELLED: Adenosine is an endogenous nucleoside acting on coronary perfusion and myocardial conduction. Although the anti-arrhythmic effects of adenosine have been known for decades, interest in the use of adenosine or adenosine triphosphate (ATP- a precursor of adenosine) in termination of supraventricular tachycardia (SVT) has been renewed. We studied the use of Striadyne (ATP and a mixture of other nucleosides including adenosine) in 22 infants younger than 6 months in order to evaluate efficacy and safety of the drug in this particular age group. Striadyne stopped SVT in 17 cases and was diagnostic in another 4 cases. Ten out of 17 successfully converted infants showed one or more reinitiations of SVT, which were easily controlled. The results support the efficacy of ATP for the termination of re-entry types of tachycardia, as well as its diagnostic value and its lack of serious side-effects. CONCLUSION: Adenosine or ATP could be the drug of choice for the treatment of junctional tachycardia in infants after vagal manoeuvres have failed. Provided continuous ECG monitoring is performed during injection, adenosine or ATP may be diagnostic in other types of supraventricular tachycardia and even in wide-complex tachycardia. We suggest a bolus injection of 0.5-1.0 mg/kg to be used prior to transport to the paediatric cardiology unit.


Assuntos
Trifosfato de Adenosina/uso terapêutico , Antiarrítmicos/uso terapêutico , Taquicardia Supraventricular/tratamento farmacológico , Trifosfato de Adenosina/administração & dosagem , Antiarrítmicos/administração & dosagem , Pré-Escolar , Eletrocardiografia , Humanos , Lactente , Recém-Nascido , Injeções Intravenosas , Taquicardia Supraventricular/diagnóstico , Resultado do Tratamento
4.
Rev Med Brux ; 14(8): 252-7, 1993 Oct.
Artigo em Francês | MEDLINE | ID: mdl-8272682

RESUMO

Foetal cardiology is now a recognised chapter of both paediatric cardiology and foetal medicine. We describe here our experience with antenatal diagnosis of cardiac malformations and discuss both its genetic and epidemiological issues. Our experience confirms if need be that foetal medicine requires a well organised first-level foetal evaluation.


Assuntos
Ecocardiografia/métodos , Cardiopatias Congênitas/diagnóstico por imagem , Anormalidades Múltiplas , Feminino , Humanos , Valor Preditivo dos Testes , Gravidez , Prognóstico , Reprodutibilidade dos Testes , Ultrassonografia Pré-Natal
5.
Biol Neonate ; 46(5): 215-9, 1984.
Artigo em Inglês | MEDLINE | ID: mdl-6391566

RESUMO

Deep abdominal palpation was performed prospectively in 900 newborns. Normal kidneys were felt in all but 8. 2 of these had a normal ultrasonography, 2 had an obstructive hydronephrosis, 1 had bilateral renal hypoplasia and 3 had a previously undiagnosed unilateral renal agenesis. Despite the increasing use of prenatal ultrasonography, careful abdominal examination should be performed in all newborns.


Assuntos
Abdome , Palpação , Sistema Urinário/anormalidades , Feminino , Humanos , Recém-Nascido , Rim/anormalidades , Masculino , Diagnóstico Pré-Natal , Ultrassonografia
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