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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Autores principales:	Ayşe Şimşek, Tülay Demircan
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	fetal echocardiography fetal arrhythmia tachycardia bradycardia irregular heart rhythm Medicine R Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/c330595da6df41e4bc8004846be4f012
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spelling	oai:doaj.org-article:c330595da6df41e4bc8004846be4f0122021-11-11T11:27:23ZDiagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia2147-94452587-247810.4274/jpr.galenos.2021.08634https://doaj.org/article/c330595da6df41e4bc8004846be4f0122021-12-01T00:00:00Z http://jpedres.org/archives/archive-detail/article-preview/diagnosis-treatment-and-follow-up-of-fetal-cardiac/47419 https://doaj.org/toc/2147-9445https://doaj.org/toc/2587-2478Aim: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.Ayşe ŞimşekTülay DemircanGalenos Yayineviarticlefetal echocardiographyfetal arrhythmiatachycardiabradycardiairregular heart rhythmMedicineRPediatricsRJ1-570ENTRJournal of Pediatric Research, Vol 8, Iss 4, Pp 485-490 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	fetal echocardiography fetal arrhythmia tachycardia bradycardia irregular heart rhythm Medicine R Pediatrics RJ1-570
spellingShingle	fetal echocardiography fetal arrhythmia tachycardia bradycardia irregular heart rhythm Medicine R Pediatrics RJ1-570 Ayşe Şimşek Tülay Demircan Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia
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.
format	article
author	Ayşe Şimşek Tülay Demircan
author_facet	Ayşe Şimşek Tülay Demircan
author_sort	Ayşe Şimşek
title	Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia
title_short	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_sort	diagnosis, treatment and follow-up of fetal cardiac arrhythmia
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/c330595da6df41e4bc8004846be4f012
work_keys_str_mv	AT aysesimsek diagnosistreatmentandfollowupoffetalcardiacarrhythmia AT tulaydemircan diagnosistreatmentandfollowupoffetalcardiacarrhythmia
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Diagnosis, Treatment and Follow-up of Fetal Cardiac Arrhythmia

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