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.