Document Detail


Fetal atrial tachycardia diagnosed by magnetocardiography and direct fetal electrocardiography. A case report of treatment with propranolol hydrochloride.
MedLine Citation:
PMID:  14564121     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
At 26 weeks of gestation, fetal tachyarrhythmias (about 250 bpm) and ascites were detected by ultrasonography, and oral treatment with propranolol (30 mg/day) was commenced. Within 10 h, the fetal heart rate changed to approximately 85 bpm. The averaged fetal magnetocardiogram triggered by R peaks showed P wave and QRS complexes and an extra P wave. In addition, many extra nonconducted P-waves were detected in a fetal direct electrocardiogram. At 27 weeks of gestation, fetal tachycardia occurred again, and arrhythmia was diagnosed as the result of a blocked premature atrial contraction (PAC) with intermittent atrial tachycardia by fetal electrocardiogram. Administration of transplacental propranolol (90 mg/day) resolved the fetal tachyarrhythmias and ascites. Further studies are required to evaluate the efficacy and adverse effects of propranolol for fetal atrial tachycardia.
Authors:
Keisuke Ishii; Yoshihide Chiba; Yoshihito Sasaki; Kazuya Kawamata; Susumu Miyashita
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  18     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2003-10-17     Completed Date:  2004-06-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  463-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003 S. Karger AG, Basel
Affiliation:
Department of Perinatology, National Cardiovascular Center, Suita, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Electrocardiography / methods*
Female
Fetal Diseases / diagnosis*,  physiopathology
Humans
Infant, Newborn
Magnetics / diagnostic use*
Male
Pregnancy
Prenatal Diagnosis / methods*
Tachycardia, Supraventricular / diagnosis*,  physiopathology

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