AI Article Synopsis
- The study evaluated 33 patients suspected of having fetal arrhythmias to learn about diagnostic methods, treatment outcomes, and prognosis.
- 15 patients were diagnosed with arrhythmias, including 4 cases of tachycardia, 5 with ectopic beats, and 6 with bradycardia.
- Treatment showed mixed results: while two fetuses with tachycardia died, one successfully converted, and bradycardia cases had poor outcomes with three deaths, whereas those with ectopic beats generally fared well.
- The conclusion highlights that bradycardic and hydropic fetuses tend to have a poor prognosis, while those with ectopic beats usually have a favorable outcome.
Article Abstract
Objective: To evaluate patients who were referred to our center with suspicion of fetal arrhythmia for diagnosis, results of treatment and prognosis.
Methods: Thirty-three patients referred to our center for evaluation of fetal cardiac arrhythmias were examined by M-mode, two-dimensional and Doppler echocardiography for cardiac anomaly and type of dysrhythmia
Results: Arrhythmias were diagnosed in 15 of 33 patients. Four cases demonstrated tachycardia, 5--ectopic beats, 6--bradycardia. Of 5 fetuses with tachycardia, transplacental antiarrhythmic drugs were administered in three cases; two of them with hydrops died and conversion of the arrhythmia was achieved in one. Six patients with bradycardia had poor perinatal outcome, with 3 deaths occurred (two of them had third degree atrioventricular block, one of them had sinus bradycardia). All patients with ectopic beats had a good perinatal outcome.
Conclusion: The results suggest that bradycardic and/or hydropic fetuses have poor prognosis, however fetuses with ectopic beats generally have desirable prognosis.
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