Role of fetal echocardiography in the management of isolated fetal heart block with ventricular rate <55 bpm

Gautam K. Singh; Joseph B. Shumway; Erol Amon; Cynthia J. Marino; Soraya Nouri; Hung N. Winn

doi:10.1055/s-2007-999299

Role of fetal echocardiography in the management of isolated fetal heart block with ventricular rate <55 bpm

Gautam K. Singh, Joseph B. Shumway, Erol Amon, Cynthia J. Marino, Soraya Nouri, Hung N. Winn

Division of Cardiology

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Persistent bradycardia is an uncommon cardiac problem in fetuses but carries a high mortality in those with a ventricular rate <55 bpm. Fetal heart block is one of the most common causes of persistent fetal bradycardia (PFB). An optimal method for assessing and monitoring cardiovascular compensation in the setting of PFB due to heart block has not been fully established. We report the application of two-dimensional and Doppler echocardiography in close monitoring of cardiac function and hemodynamics in a third-trimester fetus with a ventricular rate <55 bpm due to heart block, which assisted in successful management of the pregnancy to term. Hemodynamic and cardiac adaptive changes in compromised fetuses, particularly due to heart block, are discussed.

Original language	English
Pages (from-to)	661-668
Number of pages	8
Journal	American journal of perinatology
Volume	15
Issue number	12
DOIs	https://doi.org/10.1055/s-2007-999299
State	Published - 1998

Keywords

Fetal bradycardia
Fetal circulation
Fetal echocardiography
Fetal heart block

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abstract = "Persistent bradycardia is an uncommon cardiac problem in fetuses but carries a high mortality in those with a ventricular rate <55 bpm. Fetal heart block is one of the most common causes of persistent fetal bradycardia (PFB). An optimal method for assessing and monitoring cardiovascular compensation in the setting of PFB due to heart block has not been fully established. We report the application of two-dimensional and Doppler echocardiography in close monitoring of cardiac function and hemodynamics in a third-trimester fetus with a ventricular rate <55 bpm due to heart block, which assisted in successful management of the pregnancy to term. Hemodynamic and cardiac adaptive changes in compromised fetuses, particularly due to heart block, are discussed.",

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AU - Singh, Gautam K.

AU - Shumway, Joseph B.

AU - Amon, Erol

AU - Marino, Cynthia J.

AU - Nouri, Soraya

AU - Winn, Hung N.

PY - 1998

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N2 - Persistent bradycardia is an uncommon cardiac problem in fetuses but carries a high mortality in those with a ventricular rate <55 bpm. Fetal heart block is one of the most common causes of persistent fetal bradycardia (PFB). An optimal method for assessing and monitoring cardiovascular compensation in the setting of PFB due to heart block has not been fully established. We report the application of two-dimensional and Doppler echocardiography in close monitoring of cardiac function and hemodynamics in a third-trimester fetus with a ventricular rate <55 bpm due to heart block, which assisted in successful management of the pregnancy to term. Hemodynamic and cardiac adaptive changes in compromised fetuses, particularly due to heart block, are discussed.

AB - Persistent bradycardia is an uncommon cardiac problem in fetuses but carries a high mortality in those with a ventricular rate <55 bpm. Fetal heart block is one of the most common causes of persistent fetal bradycardia (PFB). An optimal method for assessing and monitoring cardiovascular compensation in the setting of PFB due to heart block has not been fully established. We report the application of two-dimensional and Doppler echocardiography in close monitoring of cardiac function and hemodynamics in a third-trimester fetus with a ventricular rate <55 bpm due to heart block, which assisted in successful management of the pregnancy to term. Hemodynamic and cardiac adaptive changes in compromised fetuses, particularly due to heart block, are discussed.

KW - Fetal bradycardia

KW - Fetal circulation

KW - Fetal echocardiography

KW - Fetal heart block

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Role of fetal echocardiography in the management of isolated fetal heart block with ventricular rate <55 bpm

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