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- W2008296825 abstract "To demonstrate the combined Doppler and m-mode findings in fetuses with benign ventricular arrhythmias. Three fetuses referred to cardiovascular echocardiography for fetal arrhythmias were found to have benign ventricular arrhythmias. High resolution magnified m-mode ultrasound images through the atrial wall and aortic valve, through the atrial wall and a ventricular wall and across both ventricles with movement of at least one atrio-venous valve were used to make the diagnoses. Evaluation by pulsed Doppler of peripheral combined venous and arterial structures such as the inferior vena cava and descending aorta and the right or left pulmonary artery and veins were used to confirm the diagnoses. Between March 2007 and January 2009, three cases of fetal ventricular ectopy were diagnosed: ventricular premature contractions (PVCs), ventricular bigeminy and intermittent ventricular tachycardia (IVT). Evaluation of the umbilical artery or across the outflow tracts or ductus arteriosus showed the nature of the arrhythmia but not whether they were ventricular or atrial in origin. The fetuses with PVCs and ventricular bigeminy were managed expectantly in utero, but the fetus with IVT was delivered the day after diagnosis at 37 + 2/7 weeks. By 3 months after delivery, none of the newborns showed any ectopy. Premature atrial contractions are common in fetuses but may become problematic when frequent as in bigeminy or intermittent tachycardia, but ventricular arrhythmias are rare (< 0.5% of all fetal arrhythmias). M-mode measurements combined with Doppler measurements of the atrium to ventricular or ventricular to atrium conduction times are necessary to provide a diagnosis and prognosis. We recommend a full electrocardiogram after delivery and a long term monitor recording prior to discharge in these cases." @default.
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- W2008296825 date "2009-09-01" @default.
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- W2008296825 title "P04.04: Benign fetal ventricular arrhythmias: Doppler and m-mode findings" @default.
- W2008296825 doi "https://doi.org/10.1002/uog.7058" @default.
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