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. 1983 Sep;50(3):240–245. doi: 10.1136/hrt.50.3.240

Evaluation of fetal arrhythmias by echocardiography.

L D Allan, R H Anderson, I D Sullivan, S Campbell, D W Holt, M Tynan
PMCID: PMC481403  PMID: 6193800

Abstract

The normal fetal heart shows variation in rate and rhythm. Twenty three cases that fell outside the normal patterns of variation of heart rate and rhythm were evaluated by echocardiography. Ten showed atrial or ventricular extrasystoles and these were not associated with perinatal morbidity or mortality. Seven cases showed complete heart block, two in association with structural cardiac abnormality. Six cases were of supraventricular tachycardia, five of which were successfully treated and one was delivered prematurely. It was possible to diagnose accurately the type of arrhythmia using the M-mode echocardiogram to compare the relation between atrial and ventricular contraction. Cross-sectional echocardiography allowed identification of associated structural abnormalities. Recognition that an arrhythmia is present and appropriate prenatal treatment if this is indicated will avoid unnecessary operative or premature deliveries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allan L. D., Joseph M. C., Boyd E. G., Campbell S., Tynan M. M-mode echocardiography in the developing human fetus. Br Heart J. 1982 Jun;47(6):573–583. doi: 10.1136/hrt.47.6.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Allan L. D., Tynan M. J., Campbell S., Wilkinson J. L., Anderson R. H. Echocardiographic and anatomical correlates in the fetus. Br Heart J. 1980 Oct;44(4):444–451. doi: 10.1136/hrt.44.4.444. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Allan L. D., Tynan M., Campbell S., Anderson R. H. Normal fetal cardiac anatomy--a basis for the echocardiographic detection of abnormalities. Prenat Diagn. 1981 Apr;1(2):131–139. doi: 10.1002/pd.1970010208. [DOI] [PubMed] [Google Scholar]
  4. Church S. C., Morgan B. C., Oliver T. K., Jr, Guntheroth W. G. Cardiac arrhythmias in premature infants: an indication of autonomic immaturity? J Pediatr. 1967 Oct;71(4):542–546. doi: 10.1016/s0022-3476(67)80105-7. [DOI] [PubMed] [Google Scholar]
  5. Dumesic D. A., Silverman N. H., Tobias S., Golbus M. S. Transplacental cardioversion of fetal supraventricular tachycardia with procainamide. N Engl J Med. 1982 Oct 28;307(18):1128–1131. doi: 10.1056/NEJM198210283071806. [DOI] [PubMed] [Google Scholar]
  6. HON E. H., HUANG H. S. The electronic evaluation of fetal heart rate. VII. Premature and missed beats. Obstet Gynecol. 1962 Jul;20:81–90. doi: 10.1097/00006250-196207000-00011. [DOI] [PubMed] [Google Scholar]
  7. Harrigan J. T., Kangos J. J., Sikka A., Spisso K. R., Natarajan N., Rosenfeld D., Leiman S., Korn D. Successful treatment of fetal congestive heart failure secondary to tachycardia. N Engl J Med. 1981 Jun 18;304(25):1527–1529. doi: 10.1056/NEJM198106183042506. [DOI] [PubMed] [Google Scholar]
  8. Kerenyi T. D., Gleicher N., Meller J., Brown E., Steinfeld L., Chitkara U., Raucher H. Transplancental cardioversion of intrauterine supraventricular tachycardia with digitalis. Lancet. 1980 Aug 23;2(8191):393–394. doi: 10.1016/s0140-6736(80)90441-9. [DOI] [PubMed] [Google Scholar]
  9. Kleinman C. S., Donnerstein R. L., DeVore G. R., Jaffe C. C., Lynch D. C., Berkowitz R. L., Talner N. S., Hobbins J. C. Fetal echocardiography for evaluation of in utero congestive heart failure. N Engl J Med. 1982 Mar 11;306(10):568–575. doi: 10.1056/NEJM198203113061003. [DOI] [PubMed] [Google Scholar]
  10. Kleinman C. S., Hobbins J. C., Jaffe C. C., Lynch D. C., Talner N. S. Echocardiographic studies of the human fetus: prenatal diagnosis of congenital heart disease and cardiac dysrhythmias. Pediatrics. 1980 Jun;65(6):1059–1067. [PubMed] [Google Scholar]
  11. Lingman G., Ohrlander S., Ohlin P. Intrauterine digoxin treatment of fetal paroxysmal tachycardia. Case report. Br J Obstet Gynaecol. 1980 Apr;87(4):340–342. doi: 10.1111/j.1471-0528.1980.tb04552.x. [DOI] [PubMed] [Google Scholar]
  12. Newburger J. W., Keane J. F. Intrauterine supraventricular tachycardia. J Pediatr. 1979 Nov;95(5 Pt 1):780–786. doi: 10.1016/s0022-3476(79)80736-2. [DOI] [PubMed] [Google Scholar]
  13. Sahn D. J., Lange L. W., Allen H. D., Goldberg S. J., Anderson C., Giles H., Haber K. Quantitative real-time cross-sectional echocardiography in the developing normal humam fetus and newborn. Circulation. 1980 Sep;62(3):588–597. doi: 10.1161/01.cir.62.3.588. [DOI] [PubMed] [Google Scholar]
  14. Shenker L. Fetal cardiac arrhythmias. Obstet Gynecol Surv. 1979 Aug;34(8):561–572. doi: 10.1097/00006254-197908000-00001. [DOI] [PubMed] [Google Scholar]
  15. Silber D. L., Durnin R. E. Intrauterine atrial tachycardia, associated with massive edema in a newborn. Am J Dis Child. 1969 Jun;117(6):722–726. [PubMed] [Google Scholar]
  16. Southall D. P., Richards J., Hardwick R. A., Shinebourne E. A., Gibbens G. L., Thelwall-Jones H., de Swiet M., Johnston P. G. Prospective study of fetal heart rate and rhythm patterns. Arch Dis Child. 1980 Jul;55(7):506–511. doi: 10.1136/adc.55.7.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wheeler T., Murrills A. Patterns of fetal heart rate during normal pregnancy. Br J Obstet Gynaecol. 1978 Jan;85(1):18–27. doi: 10.1111/j.1471-0528.1978.tb15819.x. [DOI] [PubMed] [Google Scholar]

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