| Giant fetal magnetocardiogram P waves in congenital atrioventricular block: a marker of cardiovascular compensation? | |
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MedLine Citation:
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PMID: 15466645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cardiogram signal amplitude is a key index of hypertrophy but has not been investigated extensively in utero. In this study, magnetocardiography was used to assess P and QRS amplitude in normal subjects and subjects with fetal arrhythmia. METHODS AND RESULTS: The study cohort consisted of 68 normal fetuses and 25 with various arrhythmias: 9 reentrant supraventricular tachycardia (SVT), 2 ventricular tachycardia (VT), 2 sinus tachycardia, 2 blocked atrial bigeminy, 2 congenital second-degree atrioventricular (AV) block, and 8 congenital complete AV block. Subjects with congenital AV block, all presenting with bradycardia, showed large QRS amplitude, exceedingly large P-wave amplitude, and long P-wave duration. The 2 subjects with VT, both with poor ventricular function, also exhibited large P waves. SVT was associated with only moderate signal amplitude elevation. CONCLUSIONS: The data imply that AV block in utero is accompanied by hypertrophy, which is more pronounced for the atria than the ventricles. We hypothesize that the hypertrophy results from a compensatory response associated with regulation of cardiac output and is likely to be observable in other arrhythmias and disease states. Magnetocardiography may be more sensitive than fetal echocardiography for detection of atrial hypertrophy in utero. |
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Authors:
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Zhimin Li; Janette F Strasburger; Bettina F Cuneo; Nina L Gotteiner; Ronald T Wakai |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. Date: 2004-10-04 |
Journal Detail:
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Title: Circulation Volume: 110 ISSN: 1524-4539 ISO Abbreviation: Circulation Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-10-12 Completed Date: 2005-06-24 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: United States |
Other Details:
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Languages: eng Pagination: 2097-101 Citation Subset: AIM; IM |
Affiliation:
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Department of Medical Physics, University of Wisconsin-Madison, Madison, Wis, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bradycardia
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congenital,
embryology,
etiology Cardiac Output Cardiomegaly / embryology, etiology Cohort Studies Fetal Heart / physiopathology* Gestational Age Heart Block / complications, congenital, diagnosis* Heart Conduction System / embryology, physiopathology* Heart Function Tests / methods* Humans Magnetics / diagnostic use* Tachycardia, Sinus / complications, embryology Tachycardia, Supraventricular / complications, embryology Tachycardia, Ventricular / complications, embryology |
| Grant Support | |
ID/Acronym/Agency:
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R01-HL63174/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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