Document Detail


Role of fetal echocardiography in the management of isolated fetal heart block with ventricular rate <55 bpm.
MedLine Citation:
PMID:  10333392     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Persistent bradycardia is an uncommon cardiac problem in fetuses but carries a high mortality in those with a ventricular rate <55 bpm. Fetal heart block is one of the most common causes of persistent fetal bradycardia (PFB). An optimal method for assessing and monitoring cardiovascular compensation in the setting of PFB due to heart block has not been fully established. We report the application of two-dimensional and Doppler echocardiography in close monitoring of cardiac function and hemodynamics in a third-trimester fetus with a ventricular rate <55 bpm due to heart block, which assisted in successful management of the pregnancy to term. Hemodynamic and cardiac adaptive changes in compromised fetuses, particularly due to heart block, are discussed.
Authors:
G K Singh; J B Shumway; E Amon; C J Marino; S Nouri; H N Winn
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  15     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1998  
Date Detail:
Created Date:  1999-07-01     Completed Date:  1999-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  661-8     Citation Subset:  IM    
Affiliation:
Division of Pediatric Cardiology and Maternal-Fetal Medicine, Saint Louis University School of Medicine, Missouri 63104, USA.
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MeSH Terms
Descriptor/Qualifier:
Bradycardia / congenital,  ultrasonography*
Disease-Free Survival
Echocardiography*
Echocardiography, Doppler
Female
Fetal Diseases / ultrasonography*
Fetal Monitoring / methods
Follow-Up Studies
Heart Block / congenital,  ultrasonography*
Humans
Infant, Newborn
Labor, Induced
Pregnancy
Pregnancy Outcome*
Pregnancy Trimester, Third
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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