Belhassen B, Pauzner D, Blieden L, Sherez J, Zinger A, David M, Muhlbauer B, Laniado S
Circulation. 1982 Nov;66(5):1124-8. doi: 10.1161/01.cir.66.5.1124.
A fetal tachyarrhythmia was discovered at the thirty-second week of gestation of a 22-year old woman. Fetal echocardiography revealed atrial fibrillation with rapid ventricular rate, without any other demonstrable cardiac abnormality. In spite of therapeutic maternal blood levels of digoxin, the fetal ventricular rate and cardiac size increased, which prompted us to perform cesarean section at the thirty-fourth week of gestation. A baby with a Wolff-Parkinson-White syndrome but no other cardiac anomaly was delivered. Recurrent episodes of nonsustained atrial fibrillation with conduction over the accessory pathway occurred in the first hours of life. The Wolff-Parkinson-White pattern was not present on subsequent ECG recordings. The use of echocardiography in the diagnosis and management of this rare fetal tachyarrhythmia is emphasized.
一名22岁女性在妊娠32周时被发现胎儿心律失常。胎儿超声心动图显示为心房颤动伴快速心室率，未发现其他明显的心脏异常。尽管母体地高辛血药浓度处于治疗水平，但胎儿心室率和心脏大小仍增加，这促使我们在妊娠34周时进行剖宫产。娩出一名患有预激综合征但无其他心脏异常的婴儿。出生后头几个小时内反复出现经附加通道传导的非持续性心房颤动。后续心电图记录未显示预激图形。强调了超声心动图在诊断和处理这种罕见的胎儿心律失常中的应用。
