| A case study of a pregnant patient with a congenital heart block accompanied by left isomerism and uncontrolled type 2 diabetes who was treated successfully with ritodrine. | |
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MedLine Citation:
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PMID: 20051690 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case study of a patient with a congenital heart block associated with a left isomerism that was diagnosed during the 26th week of gestation. The mother had type 2 diabetes mellitus that was difficult to control during the early stages of the pregnancy. A fetal echocardiogram revealed an atrioventricular dissociation, with an atrial rate of 120 bpm and a ventricular rate of 55 bpm. Subsequent examinations also revealed a left isomerism in the fetus. To increase the fetal heart rate, a continuous intravenous infusion of ritodrine was administered. The fetal ventricular rate rapidly increased to 65 bpm. The pregnancy successfully continued until term and a female infant weighing 3,182 g was born via a cesarean section. A subsequent surgery was performed to provide the infant with a permanent cardiac pacemaker, and notably, the child is now 4 months of age and her growth has been within the normal range. |
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Authors:
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Takehiro Serikawa; Kaya Ichikawa; Akira Kikuchi; Koichi Takakuwa; Kenichi Tanaka |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-12-23 |
Journal Detail:
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Title: Gynecologic and obstetric investigation Volume: 69 ISSN: 1423-002X ISO Abbreviation: Gynecol. Obstet. Invest. Publication Date: 2010 |
Date Detail:
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Created Date: 2010-04-14 Completed Date: 2010-07-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7900587 Medline TA: Gynecol Obstet Invest Country: Switzerland |
Other Details:
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Languages: eng Pagination: 193-6 Citation Subset: IM |
Copyright Information:
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Copyright 2009 S. Karger AG, Basel. |
Affiliation:
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Department of Obstetrics and Gynecology, Niigata University School of Medicine, Niigata, Japan. takehiro-s@med.niigata-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Agonists
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administration & dosage* Diabetes Mellitus, Type 2 / complications* Female Fetal Diseases / drug therapy* Heart Block / congenital, diagnosis, drug therapy* Heart Rate, Fetal / drug effects Humans Infant, Newborn Infusions, Intravenous Pregnancy Pregnancy Complications Pregnancy Outcome Prenatal Diagnosis Ritodrine / administration & dosage* |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Agonists; 26652-09-5/Ritodrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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