Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia
Aim:The importance of managing fetal arrhythmia has increased with advances in fetal echocardiography. We aimed to describe the incidence, types, clinical characteristics, treatments, and follow-ups of patients diagnosed with fetal arrhythmia in our center.Materials and Methods:Fetal echocardiograph...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-12-01
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| Series: | Journal of Pediatric Research |
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| Online Access: |
http://jpedres.org/archives/archive-detail/article-preview/diagnosis-treatment-and-follow-up-of-fetal-cardiac/47419
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| _version_ | 1797914767945367552 |
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| author | Ayşe Şimşek Tülay Demircan |
| author_facet | Ayşe Şimşek Tülay Demircan |
| author_sort | Ayşe Şimşek |
| collection | DOAJ |
| description | Aim:The importance of managing fetal arrhythmia has increased with advances in fetal echocardiography. We aimed to describe the incidence, types, clinical characteristics, treatments, and follow-ups of patients diagnosed with fetal arrhythmia in our center.Materials and Methods:Fetal echocardiographic examinations performed in our units between January 2016 and September 2019 were retrospectively evaluated. Fetal arrhythmias and their subtypes were identified using M-mode and Doppler echocardiography in all patients. Maternal age, gestational age, history of maternal or gestational pathology, diagnoses, and medications were recorded. Fetal arrhythmias were categorized into three main groups: 1) Irregular heart rhythm (ectopic beats), 2) Bradyarrhythmias: a ventricular rate less than 110 bpm; and 3) Tachyarrhythmias: a ventricular rate exceeding 180 bpm.Results:A total of 60 patients were diagnosed with fetal arrhythmia, corresponding to an overall incidence of 0.5%. The mean maternal and gestational age of those patients with fetal arrhythmia were 28.35±4.88 years and 31.03±5.94 weeks. One patient had maternal systemic disease, and four had concurrent congenital cardiac disease. Fetal tachycardia, bradycardia, and irregular heart rhythm were detected in 10 (16.6%), 8 (13.3%), and 42 (70%) patients, respectively.Conclusion:Fetal echocardiography represents the main diagnostic tool for prenatal evaluation of fetal arrhythmias, which have a variable prognosis depending on the type of arrhythmia. The most common fetal arrhythmia, the irregular heart rhythm, generally does not necessitate any treatment and resolves spontaneously. The treatment plan in patients should be based on etiology and fetal conditions. |
| first_indexed | 2024-04-10T12:31:13Z |
| format | Article |
| id | doaj.art-c330595da6df41e4bc8004846be4f012 |
| institution | Directory Open Access Journal |
| issn | 2147-9445 2587-2478 |
| language | English |
| last_indexed | 2024-04-10T12:31:13Z |
| publishDate | 2021-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Pediatric Research |
| spelling | doaj.art-c330595da6df41e4bc8004846be4f0122023-02-15T16:14:54ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782021-12-018448549010.4274/jpr.galenos.2021.0863413049054Diagnosis, Treatment and Follow-up of Fetal Cardiac ArrhythmiaAyşe Şimşek0Tülay Demircan1 İzmir Democracy University, Buca Seyfi Demirsoy Training and Research Hospital, Clinic of Pediatrics, Division of Pediatric Cardiology, İzmir, Turkey University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Pediatrics, Division of Pediatric Cardiology, İzmir, Turkey Aim:The importance of managing fetal arrhythmia has increased with advances in fetal echocardiography. We aimed to describe the incidence, types, clinical characteristics, treatments, and follow-ups of patients diagnosed with fetal arrhythmia in our center.Materials and Methods:Fetal echocardiographic examinations performed in our units between January 2016 and September 2019 were retrospectively evaluated. Fetal arrhythmias and their subtypes were identified using M-mode and Doppler echocardiography in all patients. Maternal age, gestational age, history of maternal or gestational pathology, diagnoses, and medications were recorded. Fetal arrhythmias were categorized into three main groups: 1) Irregular heart rhythm (ectopic beats), 2) Bradyarrhythmias: a ventricular rate less than 110 bpm; and 3) Tachyarrhythmias: a ventricular rate exceeding 180 bpm.Results:A total of 60 patients were diagnosed with fetal arrhythmia, corresponding to an overall incidence of 0.5%. The mean maternal and gestational age of those patients with fetal arrhythmia were 28.35±4.88 years and 31.03±5.94 weeks. One patient had maternal systemic disease, and four had concurrent congenital cardiac disease. Fetal tachycardia, bradycardia, and irregular heart rhythm were detected in 10 (16.6%), 8 (13.3%), and 42 (70%) patients, respectively.Conclusion:Fetal echocardiography represents the main diagnostic tool for prenatal evaluation of fetal arrhythmias, which have a variable prognosis depending on the type of arrhythmia. The most common fetal arrhythmia, the irregular heart rhythm, generally does not necessitate any treatment and resolves spontaneously. The treatment plan in patients should be based on etiology and fetal conditions. http://jpedres.org/archives/archive-detail/article-preview/diagnosis-treatment-and-follow-up-of-fetal-cardiac/47419 fetal echocardiographyfetal arrhythmiatachycardiabradycardiairregular heart rhythm |
| spellingShingle | Ayşe Şimşek Tülay Demircan Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia Journal of Pediatric Research fetal echocardiography fetal arrhythmia tachycardia bradycardia irregular heart rhythm |
| title | Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia |
| title_full | Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia |
| title_fullStr | Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia |
| title_full_unstemmed | Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia |
| title_short | Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia |
| title_sort | diagnosis treatment and follow up of fetal cardiac arrhythmia |
| topic | fetal echocardiography fetal arrhythmia tachycardia bradycardia irregular heart rhythm |
| url |
http://jpedres.org/archives/archive-detail/article-preview/diagnosis-treatment-and-follow-up-of-fetal-cardiac/47419
|
| work_keys_str_mv | AT aysesimsek diagnosistreatmentandfollowupoffetalcardiacarrhythmia AT tulaydemircan diagnosistreatmentandfollowupoffetalcardiacarrhythmia |