التفاصيل البيبلوغرافية
| العنوان: |
Fetal cardiac arrhythmias: Current evidence. |
| المؤلفون: |
Bravo-Valenzuela, Nathalie Jeanne, Rocha, Luciane Alves, Nardozza, Luciano Marcondes Machado, Júnior, Edward Araujo |
| المصدر: |
Annals of Pediatric Cardiology; May-Aug2018, Vol. 11 Issue 2, p148-163, 17p |
| مصطلحات موضوعية: |
FETAL ultrasonic imaging, ARRHYTHMIA, ATRIAL arrhythmias, BRADYCARDIA, DELIVERY (Obstetrics), DISEASES, ECHOCARDIOGRAPHY, HEART beat, HEART block, INFANT mortality, MATERNAL health services, MEDICAL screening, MEDICAL specialties & specialists, PRENATAL diagnosis, TACHYCARDIA, ATRIAL flutter, DISEASE progression, SUPRAVENTRICULAR tachycardia, HYDROPS fetalis, DISEASE complications, CHILDREN, FETUS |
| مستخلص: |
This article reviews important features for improving the diagnosis of fetal arrhythmias by ultrasound in prenatal cardiac screening and echocardiography. Transient fetal arrhythmias are more common than persistent fetal arrhythmias. However, persistent severe bradycardia and sustained tachycardia may cause fetal hydrops, preterm delivery, and higher perinatal morbidity and mortality. Hence, the diagnosis of these arrhythmias during the routine obstetric ultrasound, before the progression to hydrops, is crucial and represents a challenge that involves a team of specialists and subspecialists on fetal ultrasonography. The images in this review highlight normal cardiac rhythms as well as pathologic cases consistent with premature atrial and ventricular contractions, heart block, supraventricular tachycardia (VT), atrial flutter, and VT. In this review, the details of a variety of arrhythmias in fetuses were provided by M-mode and Doppler ultrasound/echocardiography with high-quality imaging, enhancing diagnostic accuracy. Moreover, an update on the intrauterine management and treatment of many arrhythmias is provided, focusing on improving outcomes to enable planned delivery and perinatal management. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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