Clinical significance and prognosis of fetal arrhythmias.
Chin Med Sci J
; 19(4): 298-300, 2004 Dec.
Article
em En
| MEDLINE
| ID: mdl-15669193
ABSTRACT
OBJECTIVE:
To explore fetal arrhythmia clinical significance and its correlation with fetal prognosis.METHODS:
Twenty-six cases of fetal arrhythmia detected among 12,799 pregnant women recorded over a ten-year period in Peking Uinon Medical College (PUMC) Hospital were reviewed retrospectively. Fetal arrhythmia was diagnosed by fetal auscultation, ultrasonography, electric fetal heart monitoring, and fetal echocardiography.RESULTS:
Twenty-six fetuses were documented with fetal arrhythmia (3 tachycardia, 4 bradycardia, 19 normal heart rate with irregular fetal cardiac rhythm). The incidence of fetal arrhythmia in our hospital was 0.2%. They were diagnosed at the average of 35 weeks' gestation (15 to 41 weeks). Twenty-two cases were diagnosed by antenatal fetal auscultation, 1 case was diagnosed by ultrasonography, and 3 cases were diagnosed by electric fetal heart monitoring. Fetal echocardiograms were performed on 17 fetuses, 6 cases (35.3%) of which showed that ventricular premature beats with normal structure of fetal heart. All neonates survived postnatally and 24 of them (92.3%) were followed up. Echocardiograms were performed for 16 neonates and 2 of them were identified as atrial septal defects with normal heart rhythms. The results of follow-up showed that the two patients had no apparent clinical manifestation. The echocardiogram showed that atrial septal defect obliterated already.CONCLUSION:
The prognosis is well for most of the fetuses with arrhythmias, with low incidence of heart deformation.
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Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
/
Diagnóstico Pré-Natal
/
Doenças Fetais
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article