| Treatment of fetal congenital complete heart block with maternal administration of beta-sympathomimetics (terbutaline): a case report. | |
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MedLine Citation:
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PMID: 11586045 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of fetal congenital heart block treated with maternal administration of beta-sympathomimetics. The case was diagnosed as fetal complete heart block associated with maternal anti-Ro/SS-A antibody at 22 weeks of gestation. By fetal sonography, the ventricular rate was revealed to be 60 beats/min and mild cardiomegaly was shown. We initiated maternal administration of a sympathomimetic, specifically terbutaline, to prevent fetal heart failure. An increase in the fetal ventricular rate and an improvement in cardiac function were both achieved during the treatment. A viable infant was delivered by an elective cesarean section without complications at term. Maternal administration of the beta-adrenergic agent terbutaline is suggested to be effective for improving fetal congenital heart block in order to prevent heart failure in utero. |
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Authors:
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H Yoshida; M Iwamoto; H Sakakibara; H Shigeta; F Hirahara; K Sato |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Gynecologic and obstetric investigation Volume: 52 ISSN: 0378-7346 ISO Abbreviation: Gynecol. Obstet. Invest. Publication Date: 2001 |
Date Detail:
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Created Date: 2001-10-04 Completed Date: 2001-12-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7900587 Medline TA: Gynecol Obstet Invest Country: Switzerland |
Other Details:
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Languages: eng Pagination: 142-4 Citation Subset: IM |
Copyright Information:
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Copyright 2001 S. Karger AG, Basel |
Affiliation:
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Department of Obstetrics and Gynecology, Odawara Municipal Hospital, Odawara, Japan. HyoshidaSan@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiotocography Female Fetal Diseases / drug therapy*, ultrasonography Fetal Heart / drug effects, ultrasonography Heart Block / congenital*, drug therapy*, ultrasonography Heart Failure / prevention & control Heart Rate, Fetal / drug effects Humans Prenatal Care Sympathomimetics / administration & dosage*, therapeutic use* Terbutaline / administration & dosage*, therapeutic use* Ultrasonography, Prenatal |
| Chemical | |
Reg. No./Substance:
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0/Sympathomimetics; 23031-25-6/Terbutaline |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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