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胎儿心律失常对新生儿科医生和儿科医生的重要性。

Importance of Fetal Arrhythmias to the Neonatologist and Pediatrician.

作者信息

Wacker-Gussmann Annette, Wakai Ronald T, Strasburger Janette F

机构信息

Institute of Preventive Pediatrics, Faculty of Sport and Health Sciences, and German Heart Center, Department of Pediatric Cardiology and Congenital Heart Defects, Munich, Germany.

Department of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA.

出版信息

Neoreviews. 2016 Oct;17(10):e568-e578. doi: 10.1542/neo.17-10-e568.

Abstract

Sudden, unexplained death during the perinatal period remains a major, longstanding challenge. Recent advances in diagnostic techniques and genetic testing has provided evidence that a significant fraction of these deaths may result from lethal cardiac arrhythmias. In this paper, we review current methods of diagnosing arrhythmia in the fetus and strategies for management of life-threatening arrhythmia throughout the perinatal period, including transitional care at the time of delivery.

摘要

围产期突发不明原因死亡仍然是一个长期存在的重大挑战。诊断技术和基因检测的最新进展已提供证据表明,这些死亡中有很大一部分可能是由致命性心律失常所致。在本文中,我们综述了目前胎儿心律失常的诊断方法以及围产期危及生命的心律失常的管理策略,包括分娩时的过渡性护理。

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本文引用的文献

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Diagnosis and treatment of fetal arrhythmia.胎儿心律失常的诊断与治疗。
Am J Perinatol. 2014 Aug;31(7):617-28. doi: 10.1055/s-0034-1372430. Epub 2014 May 23.
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Fetal arrhythmias associated with cardiac rhabdomyomas.胎儿心律失常与心脏横纹肌瘤相关。
Heart Rhythm. 2014 Apr;11(4):677-83. doi: 10.1016/j.hrthm.2013.12.018. Epub 2013 Dec 11.
5
In utero diagnosis of long QT syndrome by magnetocardiography.经心磁图术对胎儿长 QT 综合征的诊断。
Circulation. 2013 Nov 12;128(20):2183-91. doi: 10.1161/CIRCULATIONAHA.113.004840.
9
Fetal heart rate predictors of long QT syndrome.胎儿心率预测长 QT 综合征。
Circulation. 2012 Dec 4;126(23):2688-95. doi: 10.1161/CIRCULATIONAHA.112.114132. Epub 2012 Nov 2.

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