Fetal arrhythmias: Diagnosis and management

This article reviews important features for improving the diagnosis and management of fetal arrhythmias. The normal fetal heart rate ranges between 110 and 160 beats per minute. A fetal heart rate is considered abnormal if the heart rate is beyond the normal ranges or the rhythm is irregular. The ra...

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Main Authors: Anjan S. Batra, Seshadri Balaji
Format: Article
Language:English
Published: Elsevier 2019-05-01
Series:Indian Pacing and Electrophysiology Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629219300324
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author Anjan S. Batra
Seshadri Balaji
author_facet Anjan S. Batra
Seshadri Balaji
author_sort Anjan S. Batra
collection DOAJ
description This article reviews important features for improving the diagnosis and management of fetal arrhythmias. The normal fetal heart rate ranges between 110 and 160 beats per minute. A fetal heart rate is considered abnormal if the heart rate is beyond the normal ranges or the rhythm is irregular. The rate, duration, and origin of the rhythm and degree of irregularity usually determine the potential for hemodynamic consequences. Most of the fetal rhythm disturbances are the result of premature atrial contractions (PACs) and are of little clinical significance. Other arrhythmias include tachyarrhythmias (heart rate in excess of 160 beats/min) such as atrioventricular (AV) reentry tachycardia, atrial flutter, and ventricular tachycardia, and bradyarrhythmias (heart rate <110 beats/min) such as sinus node dysfunction, complete heart block (CHB) and long QT syndrome (which is associated with sinus bradycardia and pseudo-heart block).
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spelling doaj.art-310b1e80f8ef4bb789cd48272ed83db52022-12-22T01:11:58ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922019-05-01193104109Fetal arrhythmias: Diagnosis and managementAnjan S. Batra0Seshadri Balaji1Department of Pediatrics, University of California, Irvine, CA, USA; Corresponding author. Children’s Hospital of Orange County, University of California, Irvine, USA.Department of Pediatrics, Oregon Health & Science University, Portland, OR, USAThis article reviews important features for improving the diagnosis and management of fetal arrhythmias. The normal fetal heart rate ranges between 110 and 160 beats per minute. A fetal heart rate is considered abnormal if the heart rate is beyond the normal ranges or the rhythm is irregular. The rate, duration, and origin of the rhythm and degree of irregularity usually determine the potential for hemodynamic consequences. Most of the fetal rhythm disturbances are the result of premature atrial contractions (PACs) and are of little clinical significance. Other arrhythmias include tachyarrhythmias (heart rate in excess of 160 beats/min) such as atrioventricular (AV) reentry tachycardia, atrial flutter, and ventricular tachycardia, and bradyarrhythmias (heart rate <110 beats/min) such as sinus node dysfunction, complete heart block (CHB) and long QT syndrome (which is associated with sinus bradycardia and pseudo-heart block).http://www.sciencedirect.com/science/article/pii/S0972629219300324
spellingShingle Anjan S. Batra
Seshadri Balaji
Fetal arrhythmias: Diagnosis and management
Indian Pacing and Electrophysiology Journal
title Fetal arrhythmias: Diagnosis and management
title_full Fetal arrhythmias: Diagnosis and management
title_fullStr Fetal arrhythmias: Diagnosis and management
title_full_unstemmed Fetal arrhythmias: Diagnosis and management
title_short Fetal arrhythmias: Diagnosis and management
title_sort fetal arrhythmias diagnosis and management
url http://www.sciencedirect.com/science/article/pii/S0972629219300324
work_keys_str_mv AT anjansbatra fetalarrhythmiasdiagnosisandmanagement
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