Chaoui R, Bollmann R, Hoffmann H, Göldner B
Universitäts-Frauenklinik, Medizinischen Fakultät-Charité Berlin, Bundesrepublik Deutschland.
Zentralbl Gynakol. 1991;113(24):1335-50.
The paper is a review of cardiac arrhythmias, as the most common cardiological symptom in the fetus. After exposing the basic knowledge of fetal pathophysiology necessary for the better und understanding of cardiac rhythm disturbances in the fetus, the classification of fetal arrhythmias is presented. The possibilities of modern diagnosis and differential diagnosis, such us the fetal ECG, the control of the heart rate patterns and the sonography are discussed. The usefulness of the real-time-directed and color-coded M-Mode-echocardiography in the diagnosis and classification of arrhythmias are emphasized as well as the significance of the intracardiac Doppler and simultaneous Doppler recordings in the inferior vena cava and aorta. The indications, ways and drugs used in the intrauterine therapy of arrhythmias are presented. The differentiated management related to the diagnosis is described, after reporting about our own experience with 261 fetuses with arrhythmias (27 tachycardias, 21 bradycardias and 213 ectopic beats).
本文是一篇关于胎儿心律失常的综述，胎儿心律失常是胎儿最常见的心脏症状。在阐述了更好理解胎儿心律失常所需的胎儿病理生理学基础知识后，介绍了胎儿心律失常的分类。讨论了现代诊断和鉴别诊断的可能性，如胎儿心电图、心率模式监测和超声检查。强调了实时定向和彩色编码M型超声心动图在心律失常诊断和分类中的作用，以及心内多普勒和下腔静脉与主动脉同步多普勒记录的意义。介绍了心律失常宫内治疗的适应证、方法和所用药物。在报告了我们对261例心律失常胎儿（27例心动过速、21例心动过缓和213例异位搏动）的经验后，描述了与诊断相关 的差异化管理方法。
