Low Samantha, Kiper Carmen, Armstrong Aimee, Cua Clifford L
Heart Center, Nationwide Children's Hospital, Columbus, Ohio.
Echocardiography. 2018 Sep;35(9):1439-1441. doi: 10.1111/echo.14111. Epub 2018 Aug 6.
A pregnant female presented at 37 weeks of gestation in labor. The fetus was noted to be tachycardic on fetal monitor. Postnatally, the male neonate was still noted to be tachycardic with heart rates in the low 200 bpm range. EKG was consistent with tachycardia, but rhythm diagnosis was not definitively made. Echocardiogram with M-mode analysis clearly demonstrated 2:1 atrial to ventricular contraction pattern consistent with atrial flutter. The neonate was subsequently transferred to a tertiary pediatric hospital where the diagnosis of atrial flutter was confirmed.
一名怀孕女性在妊娠37周时临产。胎儿监护仪显示胎儿心动过速。产后,该男婴仍心动过速,心率在200次/分左右。心电图与心动过速相符,但未明确做出节律诊断。M型超声心动图分析清楚地显示出2:1房-室收缩模式,符合心房扑动。该新生儿随后被转至一家三级儿科医院,在那里心房扑动的诊断得到证实。