Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan
Objective: Fetal arrhythmias are common and in rare cases can be associated with severe mortality and morbidity. Most existing articles are focused on classification of fetal arrhythmias in referral centers. Our main objective was to analyze types, clinical characteristics, and outcomes for arrhythm...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455923000906 |
| _version_ | 1797826905934659584 |
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| author | Wan-Ling Chih Ksenia Olisova Yu-Hsuan Tung Yi-Ling Huang Tung-Yao Chang |
| author_facet | Wan-Ling Chih Ksenia Olisova Yu-Hsuan Tung Yi-Ling Huang Tung-Yao Chang |
| author_sort | Wan-Ling Chih |
| collection | DOAJ |
| description | Objective: Fetal arrhythmias are common and in rare cases can be associated with severe mortality and morbidity. Most existing articles are focused on classification of fetal arrhythmias in referral centers. Our main objective was to analyze types, clinical characteristics, and outcomes for arrhythmia cases in general practice. Case report: We retrospectively reviewed a case series of fetal arrhythmias in a fetal medicine clinic between September 2017 and August 2021. Fetal arrhythmias in our sample presented by: Ectopies (86%, n = 57), bradyarrhythmias (11%, n = 7), and tachyarrhythmias (3%, n = 2). One tachyarrhythmia case was associated with Ebstein's anomaly. Two cases of second-degree AV block received transplacental fluorinated steroid therapy with recovery of fetal cardiac rhythm in later gestation. One case of complete AV block developed hydrops fetalis. Conclusion: Detection and careful stratification of fetal arrhythmias in obstetric screening is crucial. While most arrhythmias are benign and self-limited, some require prompt referral and timely intervention. |
| first_indexed | 2024-04-09T12:39:47Z |
| format | Article |
| id | doaj.art-69f705a3f7ea4dadbbb01b002f2c6e48 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-09T12:39:47Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-69f705a3f7ea4dadbbb01b002f2c6e482023-05-15T04:13:46ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592023-05-01623480484Fetal arrhythmias case series: Experiences from a fetal screening center in TaiwanWan-Ling Chih0Ksenia Olisova1Yu-Hsuan Tung2Yi-Ling Huang3Tung-Yao Chang4Department of Fetal Medicine, Taiji Clinic, TaiwanDepartment of Medical Research, Taiji Clinic, TaiwanDepartment of Fetal Medicine, Taiji Clinic, TaiwanDepartment of Fetal Medicine, Taiji Clinic, TaiwanDepartment of Fetal Medicine, Taiji Clinic, Taiwan; Corresponding author. 104, Zhongshan District, Sec. 2, Zhongshan North Road, Taipei City, Taiwan, ROC.Objective: Fetal arrhythmias are common and in rare cases can be associated with severe mortality and morbidity. Most existing articles are focused on classification of fetal arrhythmias in referral centers. Our main objective was to analyze types, clinical characteristics, and outcomes for arrhythmia cases in general practice. Case report: We retrospectively reviewed a case series of fetal arrhythmias in a fetal medicine clinic between September 2017 and August 2021. Fetal arrhythmias in our sample presented by: Ectopies (86%, n = 57), bradyarrhythmias (11%, n = 7), and tachyarrhythmias (3%, n = 2). One tachyarrhythmia case was associated with Ebstein's anomaly. Two cases of second-degree AV block received transplacental fluorinated steroid therapy with recovery of fetal cardiac rhythm in later gestation. One case of complete AV block developed hydrops fetalis. Conclusion: Detection and careful stratification of fetal arrhythmias in obstetric screening is crucial. While most arrhythmias are benign and self-limited, some require prompt referral and timely intervention.http://www.sciencedirect.com/science/article/pii/S1028455923000906ArrhythmiasCardiacDiagnostic imagingFetusGeneral practiceReferral and consultation |
| spellingShingle | Wan-Ling Chih Ksenia Olisova Yu-Hsuan Tung Yi-Ling Huang Tung-Yao Chang Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan Taiwanese Journal of Obstetrics & Gynecology Arrhythmias Cardiac Diagnostic imaging Fetus General practice Referral and consultation |
| title | Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan |
| title_full | Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan |
| title_fullStr | Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan |
| title_full_unstemmed | Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan |
| title_short | Fetal arrhythmias case series: Experiences from a fetal screening center in Taiwan |
| title_sort | fetal arrhythmias case series experiences from a fetal screening center in taiwan |
| topic | Arrhythmias Cardiac Diagnostic imaging Fetus General practice Referral and consultation |
| url | http://www.sciencedirect.com/science/article/pii/S1028455923000906 |
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