Auricular flutter in a newly born infant

Carr, James G.; McCLURE, William B.

doi:10.1016/s0002-8703(31)90368-2

Cited by 38 publications

(6 citation statements)

References 2 publications

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“…Before adequate intra-uterine diagnostic tools became available, the relevance of fetal cardiac arrhythmia in clinical practice was the subject of controversy (1,2). However, there is no longer any doubt as to the importance of proper diagnosis and supervision in such cases (3).…”

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confidence: 99%

Clinical Outcome and Circulatory Effects of Fetal Cardiac Arrhythmia

1986

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ABSTRACT. By means of abdominal fetal ECG and non‐invasive ultrasound blood flow studies 113 cases of fetal cardiac arrhythmia were classified according to the origin of arrhythmia. Pregnancy outcome was characterized by an increased frequency of fetal distress and heart malformation, and increased fetal and neonatal mortality. The following types of arrhythmia were identified: supraventricular extrasystoles (n=84), paroxysmal tachycardia (n=6), sinus bradycardia (n=3), atrial flutter (n=1), ventricular extrasystolw (n=14), and atrioventricular block (n=5). In 37 cases the combined Doppler and real‐time ultrasound tehnique was used to measure fetal aortic blood flow as a means of studying the circulatory effects of the arrhythmia. Increased peak velocity, risiig slope and acceleration were found in the first post‐pausal beat after a supraventricular extrasystole or a missed beat; this supports the validity of Frank‐Starling law for the fetal heart and suggests that a strong relationship exists between these variables and myocardial contractility, In two cases of intra‐uterine heart failure, the effect of digoxin treatment in utero on the fetal aortic flow variables was studied, results indicating a positive inotropic effect of the drug on the fetal myocardium. The estimation of fetal aortic volume blood flow in cases of fetal cardiac arrhythmia is useful for early detection of fetal cardiac failure, and for monitoring the effects of intra‐uterine treatment.

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confidence: 99%

Clinical Outcome and Circulatory Effects of Fetal Cardiac Arrhythmia

1986

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“…Aetiology Though in older children infections and digitalis poisoning are often associated with paroxysmal tachycardia, in infancy, in the maj6rity of cases, no underlying cause can be found. A congenital defect of the heart, however, is not a rare finding as may be suspected on clinical grounds in the cases of Colegate and McCulloch (1926), Carr and McClure (1931) and as was found on necropsy in the cases of Schuster andPaterson (1924), Werley (1925) and Young (1944). The majority of postmortem examinations reveal no cardiac abnormality though Shookoff, Litvak and Matusoff (1932) maintain that there is usually underlying myocardial disease.…”

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confidence: 92%

Paroxysmal Tachycardia in Infancy

Farquhar¹

1952

Archives of Disease in Childhood

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“…[1][2][3][4] The early recognition of this rhythm disturbance is of major importance, as when untreated congestive heart failure rapidly develops. On the other hand, prompt treatment frequently leads to recovery of the infants.…”

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confidence: 99%