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. Author manuscript; available in PMC: 2010 Aug 1.
Published in final edited form as: J Rheumatol. 2009 Jun 30;36(8):1744–1748. doi: 10.3899/jrheum.080737

Table 1.

Features of fetuses/infants born to anti Ro/La-negative mothers.

Patient Sex Year of
Birth
GA
CHB
Lower
Fetal HR
GA at
Delivery
HR at
Birth
Apgar
Score
Fetal
Heart
Failure
Age at
Permanent
Pacing
Features of Block Outcome (2007)
1 M 2005 22 35 30 27 7–8 Ascites, LV dilatation 1 day Stable 3rd degree Died (at 5 mo from respiratory distress complicated by sepsis)
2 F 1996 32 30 36 58 8–9 No 1 day Stable 3rd degree Dexamethasone 84 mg in utero pending autoantibody finding Alive (congenital sensorineural deafness)
3 F 2005 19 45 37 40 8–8 Hydrops, LV dilatation 20 days 2nd degree, progressed to 3rd degree in utero and then stable. Betamethasone 102 mg in utero pending autoantibody finding Died (suddenly at 2 mo despite pacing)
4 F 1999 At birth 80 41 100 8–10 No 1 yr Stable 2nd degree Alive
5 M 2001 29 80 34 70 7–9 No No pacing Stable 2nd degree Alive
6 F 2005 At birth 80 34 75 7–8 No 20 days 2nd degree at birth; 3rd degree at 3 days Alive
7 M 2001 At birth 96 41 96 9–10 No 4 mo Extrasystoles at 29 and 30 wks; 2nd degree AV block at birth, 3rd degree at 3 mo Alive
8 F 1996 29 40 35 60 5–7 No No pacing 2nd degree alternating with 3rd degree in utero. Betamethasone 24 mg to enhance fetal lung maturity. 3rd degree at birth, reverted to NSR 30 min after birth but worsened to 2nd degree block the next day Died (at 15 days from respiratory distress, pulmonary hypertension, and cardiac failure)
9 M 2005 29 80 34 110 9–9 No No pacing 28 wks fetus in NSR; at 29 wks complete AV block was repeatedly found in 2 referral centers, over 3 days; betamethasone 12 mg was given to induce lung maturity; NSR the day after; 2 days later 3rd degree AV block recurred, and betamethasone was restarted, pending autoantibody finding; after 2 days NSR again, stable till delivery, at 34 wks; mother continued high-dose betamethasone (4 mg daily), from 29 to 34 wks Alive (NSR at 2 yrs of age)

GA CHB: gestational age at detection of CHB weeks; HR: heart rate; AV: atrioventricular; LV: left ventricle; NSR: normal sinus rhythm.