Fetal tachyarrhythmia - part I: diagnosis

Oudijk, Martijn A; Visser, Gerard HA and Meijboom, Erik J (2004) Fetal tachyarrhythmia - part I: diagnosis. Indian Pacing and Electrophysiology Journal, 4 (3). pp. 104-113. ISSN 0972-6292

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Fetal tachycardia, first recognized in 1930 by Hyman et al1, is a condition occurring in approximately 0.4-0.6% of all pregnancies2. A subset of these cases with more sustained periods of tachycardia is clinically relevant. The necessity of therapeutic intervention in this condition is still a matter of discussion focused on the natural history of the disease. The spectrum of opinions varies from non-intervention3,4,5 based on a number of cases in which the tachycardia subsided spontaneously6, to aggressive pharmacotherapeutic intervention7,8 based on reports of deterioration of the fetal condition ultimately ending in significant neurological morbidity9,10,11, or fetal demise12,13,14. Prenatal treatment through indirect, maternally administered drug therapy seems to be the preference of most centers15,16,17,18,19,20,21. This matter will be discussed further in Fetal Tachyarrhythmia, Part II, Treatment.

EPrint Type:Article
Uncontrolled Keywords:Fetal tachyarrhythmia; Diagnosis
Subjects:Female Genital Diseases and Pregnancy Complications > Pregnancy Complications > Fetal Diseases
-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Heart Diseases > Arrhythmia > Tachycardia
Cardiovascular Diseases > Heart Diseases > Arrhythmia
ID Code:185
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:04 July 2005

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