Erfolgreiche Kardioversion bei neonatalem Vorhofflattern

Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review

“…Thirty-four articles (87.2%) [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] stated the patients’ gestational ages. The described neonates ranged from 25 +2 to 40 +4 weeks of gestation.…”

“…One case [ 13 ] reported electric CV in an extremely preterm infant (25 +2 weeks of gestation), and another study [ 14 ] in a very preterm infant (28 +0 weeks of gestation). In twenty-five articles (64.1%) [ 7 , 8 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 31 , 35 , 36 , 37 , 38 , 41 , 42 , 43 , 44 , 45 ] including sixty-one patients (54%), the patients’ sex was described. In these articles, females ( n = 29, 47.5%) and males ( n = 32, 52.5%) were equally affected by arrhythmias.…”

“…In 22 articles (56.4%) [ 7 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] including 39 neonates (34.5%), rhythm disturbances were diagnosed immediately or within the first hours after birth. In 6 articles (15.4%) [ 8 , 34 , 35 , 36 , 37 , 38 ] the 62 described neonates (54.9%) were classified into an age group between birth and four weeks post-partum.…”

“…In 15 studies (38.5%) [ 7 , 8 , 14 , 15 , 16 , 17 , 20 , 22 , 23 , 26 , 28 , 29 , 32 , 34 , 35 ] including 33 neonates (29.2%), arrhythmias had already been detected prenatally or were the reason for inducing labor [ 22 , 23 ].…”

“…AFL was described in 86 neonates (76.1%) with arrhythmias, who received electric countershock. In 12/86 neonates (14%), the typical ECG pattern of AFL had been revealed after using adenosine [ 13 , 16 , 19 , 22 , 23 , 31 , 47 ].…”