| 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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fetal goitrous hypothyroidism followed by neonatal transient hyperthyroidism. A case report.
Next Document: Intravenous fetal exchange transfusion before 22 weeks of gestation in early and severe red-cell fet...