Eisenberg de Smoler P, Munguia C D, Dominguez J A, Lindig M, Karchmer S
J Gynecol Obstet Biol Reprod (Paris). 1975;4(7):949-60.
We considered it useful to attempt to diagnose fetal distress or fetal heart failure in hydropic fetuses using external electrodes with a feto-maternal electrocardiographic machine. The pathological tracings that we obtained have been compared with tracings from a normal pregnancy. The authors have not been able to find that there is a significant difference between the electric axes of normal fetuses and pathological fetuses. In fact in both groups we have found as many normal axes with right deviation as with left deviation. In any case we have found that low voltage ventriculograms with a triangular shape have been more common in hydropic fetuses than in the control group. We do not think that this method will be of any use in diagnosing chronic fetal distress of heart failure. All the same we think that we should devote our attention particularly to those patients that have low voltage ventriculograms of triangular shape. We would like to thank Dr Mario Villamichel for his advice and commentary on the manuscript as well as Dr Luis Senties, the Chef de Service of the Department of Isoimmunisation.
我们认为，尝试使用胎儿 - 母亲心电图机的外部电极来诊断水肿胎儿的胎儿窘迫或胎儿心力衰竭是有用的。我们获得的病理描记图已与正常妊娠的描记图进行了比较。作者未能发现正常胎儿和病理胎儿的电轴之间存在显著差异。事实上，在两组中，我们发现电轴右偏和左偏的正常情况一样多。无论如何，我们发现三角形的低电压心室图在水肿胎儿中比在对照组中更常见。我们认为这种方法对诊断慢性胎儿窘迫或心力衰竭没有任何用处。尽管如此，我们认为我们应该特别关注那些有三角形低电压心室图的患者。我们要感谢马里奥·维拉米切尔博士对手稿的建议和评论，以及免疫血型科主任路易斯·森蒂斯博士。
