Document Detail


Sinusoidal fetal heart rate pattern after intrauterine transfusion.
MedLine Citation:
PMID:  6472745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two pregnancies complicated by severe Rh-isoimmunization and the development of sinusoidal fetal heart rate patterns immediately after intrauterine transfusions are presented. An intermittent sinusoidal pattern resolved, in one fetus, with sonographic evidence of delayed but complete absorption of transfused red blood cells. In contrast, the second fetus exhibited a continuous sinusoidal pattern coincident with cardiac decompensation detected by echocardiography, severe anemia, and failure to absorb transfused red blood cells. Possible pathophysiologic mechanisms for the development of sinusoidal patterns after fetal transfusions are discussed. It is concluded that a sinusoidal fetal heart rate pattern may occur after fetal transfusion and that the subsequent course of this pattern provides meaningful information about fetal condition as well as the success of intrauterine transfusion.
Authors:
T W Lowe; K J Leveno; J G Quirk; R Santos-Ramos; M L Williams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  64     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-09-21     Completed Date:  1984-09-21     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21S-25S     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Transfusion, Intrauterine / adverse effects*
Echocardiography
Erythroblastosis, Fetal / physiopathology,  therapy*
Female
Fetal Heart / physiopathology*
Heart Rate
Humans
Pregnancy
Prognosis

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


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