[Magnetocardiography--a possible supplementary method for early detection of fetal distress in high-risk pregnancies].
Ever since the first report on fetal magnetocardiography by Kariniemi in 1974 numerous studies have examined cardiac activity in healthy fetuses using this technique. Recently there has been an increase in reports on the identification of fetal pathological states, in particular in the diagnosis of fetal arrhythmias, using magnetocardiography. Other possible applications of this non-invasive method include the assessment of intrauterine growth retardation and fetal stress. In a patient with gestational hypertension and asymmetric growth retardation without pathological ultrasound findings, fetal magnetocardiography showed a reduced beat-to-beat heart rate variability indicating signs of fetal stress. On the day following the magnetocardiographic recording, fetal Doppler ultrasonography findings indicated an incipient brain sparing effect. The fetal growth retardation was reflected in the duration of the fetal cardiac time intervals. We conclude that fetal magnetocardiography non-invasively enables the timely identification of pathological fetal conditions.
Schiermeier
S
S
Frauenklinik der Universität Witten/Herdecke, Marien-Hospital, Witten. Dr.Schiermeier@gmx.de
van Leeuwen
P
P
Lange
S
S
Hatzmann
W
W
D000328:Adult; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis* / Q000209:etiology*; D005317:Fetal Growth Retardation / Q000150:complications*; D005323:Fetal Monitoring / Q000379:methods*; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis*; D008280:Magnetics; D011247:Pregnancy; D018566:Pregnancy, High-Risk