Congenital complete heart block diagnosed during intrauterine fetal monitoring

Sokol, Robert J.; Hutchison, Paul J.; Krouskop, Richard W.; Brown, Edwin G.; Reed, George; Vasquez, Hector

doi:10.1016/0002-9378(74)90160-4

Cited by 12 publications

(2 citation statements)

References 2 publications

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“…71 It is recommended that anti-Ro/SSA and anti-La/SSB be checked in the first trimester and the first fetal echocardiogram (ECHO) be obtained at 16 weeks of gestation. 65 If the PR interval of the fetal electrocardiogram (EKG) is >150 ms, as measured by pulsed-Doppler fetal ECHO or fetal electrocardiodiogram, 72 or there are varying degrees of block, myocarditis or hydrops fetalis, then dexamethasone, which crosses the placenta at 4 mg orally per day, is given for 6 weeks or longer. 65 One approach suggested for severe hydrops fetalis is to remove circulating maternal antibodies by apheresis combined with dexamethasone treatment and delivery of the baby as soon as the lungs are deemed mature.…”

Section: The Effect Of Lupus On Fetal Outcomesmentioning

confidence: 99%

Lupus and Pregnancy: Complex Yet Manageable

Dhar

Sokol²

2006

Clinical Medicine & Research

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Systemic lupus erythematosus is a chronic multi-system autoimmune disease that occurs predominantly in women of childbearing age. The risk of complications and adverse fetal outcomes in pregnant women with lupus is high. Moreover, pregnancy can cause flares of lupus disease activity necessitating maternal immunosuppressive intervention. Interestingly, many potential complications of pregnancy present as symptoms of lupus making diagnosis and treatment a challenge.Advancing technology and better understanding of the maternal-fetal dyad in lupus have improved outcomes in lupus pregnancies over the last 40 years. This article will briefly review the important issues in pregnancies complicated by lupus and provide a general guideline to physicians for monitoring and treatment.

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Section: The Effect Of Lupus On Fetal Outcomesmentioning

confidence: 99%

Lupus and Pregnancy: Complex Yet Manageable

Dhar

Sokol²

2006

Clinical Medicine & Research

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“…There was a high incidence of cardiac abnormalities, although no specific FHR pattern was found other than in patient number 3 where the infant had persistent bradycardia and suffered from a conduction defect. Persistent bradycardia in the antepartum period is frequently encountered when congenital heart block is present and the diagnosis can be confirmed by direct fetal electrocardiography (Sokol et al, 1974;Abinader et al, 1976) during labour.…”

Section: Discussionmentioning

confidence: 99%

Abnormal Fetal Heart Rate Associated With Congenital Abnormalities

Phillips

Towell

1980

BJOG

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Summary The fetal heart rate (FHR) records obtained from 3140 patients were reviewed. Thirty‐seven patients gave birth to an infant with a major congenital abnormality. Fifty‐one per cent of this group demonstrated an abnormal FHR in the antepartum or intrapartum period. The Caesarean Section rate was 48 per cent and perinatal mortality was 50 per cent. In patients with an abnormal antepartum FHR record, an underlying congenital abnormality of the fetus should be considered.

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Antepartum Fetal Arrythmia: A Case Report

Wingate

1976

International Journal of Gynecology & Obstetrics

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On a number of occasions fetal heart arrythmias have been detected during the course of routine antepartum patient examination. A case is presented to illustrate the difficulty of making a definitive diagnosis of the nature of the arrythmia, and its significance in relation to fetal status. Investigation included stressed and nonstressed FHR monitoring, but a definitive diagnosis could not be made during the antepartum period and the patient could, therefore, not be assured of the essentially benign nature of the arrythmia until shortly after the birth of her child. The electrocardiogram obtained from external fetal electrocardiographic monitoring is not sufficiently refined to aid in the antepartum diagnosis of fetal cardiac arrythmias.

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Congenital complete heart block diagnosed during intrauterine fetal monitoring

Cited by 12 publications

References 2 publications

Lupus and Pregnancy: Complex Yet Manageable

Lupus and Pregnancy: Complex Yet Manageable

Abnormal Fetal Heart Rate Associated With Congenital Abnormalities

Antepartum Fetal Arrythmia: A Case Report

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