Andriessen P, Tanke R, Fiselier T
Afd. Kindergeneeskunde, Academisch Ziekenhuis Nijmegen.
Tijdschr Kindergeneeskd. 1993 Oct;61(5):178-82.
Fetal bradycardia of 60 beats per minute was diagnosed in the 22nd week of a normal pregnancy. Echocardiography showed a complete fetal atrioventricular heart block. The fetal heart was without structural abnormalities. Auto-antibodies (Ro/SS-A and antinuclear antibodies) could be demonstrated in both mother and child. The mother, however, showed no signs or symptoms of a connective tissue disease. We describe neonatal lupus erythematosus as an important cause of congenital heart block.
在一次正常妊娠的第22周诊断出胎儿心动过缓,心率为每分钟60次。超声心动图显示胎儿完全性房室传导阻滞。胎儿心脏无结构异常。母亲和胎儿体内均可检测到自身抗体(Ro/SS - A和抗核抗体)。然而,母亲没有结缔组织病的体征或症状。我们将新生儿红斑狼疮描述为先天性心脏传导阻滞的一个重要原因。