[Clinical follow up in a case of fetal arrhythmia--review of the literature].
Fetal heart arrhythmias are divided into 3 categories: 1. extrasystoles 2. tachycardia and 3. bradycardia. In each of these fetal echocardiography follow-up is necessary during the pregnancy. Extrasystoles are usually evaluated every 2 weeks, are mostly benign and no pharmacological treatment is necessary. Vaginal delivery is recommended. Tachycardia should be monitored every week for any evidence of incoming fetal heart failure. In such circumstances pregnant women should be in hospitalized and pharmacological treatment is strongly recommended, usually with digoxin or digoxin and verapamil. Furthermore, other drugs were reported. In a case of bradycardia fetal echocardiography should be performed every week. Fetal heart failure usually leads to cesarean sections, similar like in cases of tachycardia.
Respondek
M
M
Zakładu Ultrasonografii CZMP, kierownik Zakładu.
Wilczyński
J
J
D001919:Bradycardia / Q000150:complications / Q000175:diagnosis*; D005117:Cardiac Complexes, Premature / Q000175:diagnosis; D002303:Cardiac Output, Low / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D004452:Echocardiography; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D005500:Follow-Up Studies; D006801:Humans; D011247:Pregnancy; D013610:Tachycardia / Q000150:complications / Q000175:diagnosis*; D016216:Ultrasonography, Prenatal