Fetal arrhythmia. A case load of 4 years and a half.

Authors

  • C Trigo Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Lisboa.
  • A J Macedo
  • M Ferreira
  • L Bernardino
  • A Agualusa
  • M Lima

DOI:

https://doi.org/10.20344/amp.2667

Abstract

In a 4 1/2 year period fetal, echocardiographic studies were performed on 1600 fetuses. In 55 with arrhythmia, 44 had supraventricular ectopic beats, resolved in all, and none had heart disease. Sustained arrhythmias occurred in 11 fetuses. Atrial flutter was present in 3 all with heart disease (Ebstein disease, right atrial tumour and WPW diagnosed after birth). Another 3 fetuses had supraventricular tachycardia (SVT), all with a normal heart. In the bradycardia group, 2 had complete heart block (CHB) associated with AVSD; 2 sinus bradycardia and one had non conducted atrial ectopic beats. Digoxin was the first choice drug for tachyarrhythmia therapy; association with Verapamil, Flecainide, Quinidine and Procainamide was used in 4 of the 6. One fetus with CHB received Orciprenaline with no results. Atrial flutter resolved or improved; in SVT 2 fetuses converted to sinus rhythm and one died in utero. All fetuses with CHB died in cardiac failure. Mortality was 27% (3 cases) in utero and global 36%. In our experience most fetal arrhythmias (90%) were transitory ectopic beats or non lasting bradycardia in normal heart and did not trigger other kinds of arrhythmias. In sustained arrhythmias, heart failure and heart disease had a negative effect on prognosis.

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How to Cite

1.
Trigo C, Macedo AJ, Ferreira M, Bernardino L, Agualusa A, Lima M. Fetal arrhythmia. A case load of 4 years and a half. Acta Med Port [Internet]. 1995 Feb. 27 [cited 2022 Dec. 10];8(2):73-9. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2667

Issue

Section

Arquivo Histórico