[Congenital total AV block in the direct fetal electrocardiogram].
The congenital total av-block in the fetal electrocardiogram is a rare condition with a frequency of 1:20 000. The reason are heart failure and umbilical cord complications, but probably immunological reactions may be the source of a part of these blocks. In the sera of mothers, which have born children with a congenital total av-block, antibodies of IgG-class would be found, for instance anti-Ro (SS-A) and anti-La (SS-B). These mothers had or developed a connective-tissue disease (Sjögren's syndrome or Lupus erythematosus). This means a new behavior for the obstetrician detecting pre- or intranatally a total av-block. A own case will be demonstrated together with a differential diagnostical example of interference dissoziation.
Wunderlich
M
M
Gynäkologisch-geburtshilflichen Klinik, Kreiskrankenhauses Altenburg.
D000328:Adult; D001238:Asphyxia Neonatorum / Q000150:complications; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000503:physiopathology; D005318:Fetal Heart / Q000503:physiopathology*; D005323:Fetal Monitoring; D006327:Heart Block / Q000151:congenital* / Q000503:physiopathology; D006801:Humans; D007231:Infant, Newborn; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D011247:Pregnancy
Zur Problematik des kongenitalen totalen AV-Blockes im direkten fetalen Elektrokardiogramm.