Muralles-Castillo Fernando A
Servicio de Cardiología Pediátrica, Instituto Guatemalteco de Seguridad Social, Ciudad de Guatemala, Guatemala.
Arch Cardiol Mex. 2024 Nov 13;95(2):220-4. doi: 10.24875/ACM.24000049.
The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc., is mentioned; however, their use is controversial, since there are still many studies in which it is not defined whether they are used in isolation or together to improve the patient's condition. Steroids are the medications most used in this pathology and also the most studied, although their use has decreased the development of hydrops and preventing a type II atrioventricular block from progressing to a complete one, it can also cause greater loss of amniotic fluid, causing oligohydramnios that could cause fetal damage. Due to this, the assessment of the use of different medications will depend on the patient's clinical condition and multidisciplinary management should be addressed in the perinatal period to improve the prognosis of the patient and the mother.
以下文章旨在描述先天性完全性房室传导阻滞患者的临床特征。信息收集自不同来源,其中包括该病症的表现及其对胎儿的影响,主要依据是寻找药物使用与其预后之间的关联。在用于胎儿房室传导阻滞患者的治疗方法中,提到了使用类固醇、β-肾上腺素能刺激剂、血浆等;然而,它们的使用存在争议,因为仍有许多研究未明确它们是单独使用还是联合使用以改善患者病情。类固醇是该病症中使用最多且研究最多的药物,尽管其使用减少了水肿的发生并防止II型房室传导阻滞进展为完全性房室传导阻滞,但它也可能导致羊水大量流失,引起羊水过少,进而可能对胎儿造成损害。因此,对不同药物使用的评估将取决于患者的临床状况,围产期应进行多学科管理以改善患者和母亲的预后。