Document Detail

Fetal presentation of congenital long QT syndrome.
MedLine Citation:
PMID:  10556395     Owner:  NLM     Status:  MEDLINE    
Thirty-two-week prenatal ultrasound revealed a fetal heart rate of 100 bpm with decreased variability on the heart rate tracing. Echocardiogram documented normal anatomy and sinus bradycardia. Newborn electrocardiogram revealed sinus rhythm at 100 bpm with a QTc of 0.657. Follow-up electrocardiogram revealed a QTc interval of 0.568, 2:1 atrioventricular block with a ventricular rate of 60 bpm, and ventricular ectopy. The infant received a pacemaker and beta-blocker therapy. Long QT syndrome should be in the differential diagnosis of the fetus with bradycardia and decreased heart rate variability in the absence of distress. Early diagnosis allowed for preventative care in the infant and identification of family members at risk.
M T Donofrio; S D Gullquist; N G O'Connell; F O Redwine
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  20     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  1999-12-15     Completed Date:  1999-12-15     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  441-4     Citation Subset:  IM    
The Medical College of Virginia - Virginia Commonwealth University, Department of Pediatrics and Division of Pediatric Cardiology, 1200 East Broad Street, Richmond, VA 23298, USA.
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MeSH Terms
Bradycardia / diagnosis
Infant, Newborn
Long QT Syndrome / therapy,  ultrasonography*
Pacemaker, Artificial
Prenatal Diagnosis / methods*

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