Fetal cardiac arrhythmia. Clinical outcome in 113 cases

In 113 cases of fetal cardiac arrhythmia, i.e. 94 with supraventricular arrhythmia, 5 with atrioventricular block and 14 with ventricular arrhythmia, the clinical outcome was studied and compared with the general pregnant population. The arrhythmia group was afflicted with a significantly increased...

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Bibliographic Details
Published inActa obstetricia et gynecologica Scandinavica Vol. 65; no. 3; p. 263
Main Authors Lingman, G, Lundström, N R, Marsál, K, Ohrlander, S
Format Journal Article
LanguageEnglish
Published United States 1986
Subjects
Adolescent
Adult
Arrhythmias, Cardiac - diagnosis
Congenital Abnormalities - etiology
Female
Fetal Death - etiology
Fetal Diseases - diagnosis
Fetal Distress - etiology
Heart Block - diagnosis
Humans
Infant Mortality
Infant, Newborn
Pregnancy
Prognosis
Risk
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Summary:In 113 cases of fetal cardiac arrhythmia, i.e. 94 with supraventricular arrhythmia, 5 with atrioventricular block and 14 with ventricular arrhythmia, the clinical outcome was studied and compared with the general pregnant population. The arrhythmia group was afflicted with a significantly increased frequency of congenital malformations, 6.2% vs. 2.0%; fetal distress in labor, 20.4% vs. 13.5%; perinatal mortality, 3.5% vs. 0.7%; and neonatal mortality, 1.8% vs. 0.1%. In 4 cases, pharmacological cardiac treatment was needed in utero due to fetal heart failure. Fetuses with cardiac arrhythmia thus constitute an obstetric and pediatric high-risk group that should be subjected to an intensified supervision to detect fetal heart failure or fetal distress. When indicated, these complications can be treated in utero.
ISSN:0001-6349
DOI:10.3109/00016348609155181