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- W4205207788 abstract "To analyse the outcome of fetuses diagnosed with dysrhythmia w.r.t type of rhythm anomaly and presence/absence of associated anomalies and/or hydrops. This is a retrospective analysis of all fetuses detected to have a cardiac dysrhythmia. The study period from October 2007 to February 2019 included 33 structurally normal fetuses with cardiac dysrhythmia. This was further categorised into fetal tachycardia (heart rate >180bpm), ectopic beats (irregularly irregular rhythm with normal rate) and fetal bradycardia (heart Rate <100bpm). Fetal bradycardia was subdivided into sinus bradycardia and that associated with heart block. Fetal tachycardia was subdivided into sinus rhythm and tachyarhythmia. 3/33 (9.1%) fetuses had tachycardia,18/33 (54.5%) had bradycardia and 12/33 (36.4%) had ectopic beats. 1/3 (33.3%) with tachycardia, had sinus tachycardia which resolved spontaneously at 33 weeks, 2 (66.7%) out of them had supraventricular tachycardia and hydrops at the time of diagnosis, which were treated antenatally, but both succumbed. 3/18 (16.7%) of the fetuses with bradycardia, had sinus bradycardia and all were livebirths. 15/18 (83.3%) were associated with heart block, of which there were 4 (26.7%) livebirths, 2 were Anti Ro/SSA (Anti-Sjögren's syndrome-related antigen A) / Anti La/SSB (Anti-Sjögren's syndrome-related antigen B) antibodies positive and one had rhabdomyoma. There were 8 (53.3%) terminations in this group. 12/12 fetuses with ectopic beats had an otherwise uneventful pregnancy and were livebirths. Fetuses with sinus brady/tachycardia and ectopic beats with normal rate tend to have a good outcome. In the presence of AntiRo/ AntiLa antibodies, antenatal fetal therapy may benefit some babies. Fetuses with hydrops in the presence of fetal dysrhythmia tend to have a worse prognosis. Our study shows that fetal dysrhythmias must be categorised into sinus or otherwise, rhythm anomalies in order to counsel couple appropriately regarding need for further investigations and fetal therapy leading to a better outcome for that pregnancy." @default.
- W4205207788 created "2022-01-26" @default.
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- W4205207788 date "2020-10-01" @default.
- W4205207788 modified "2023-10-18" @default.
- W4205207788 title "VP16.21: Categorisation of fetal dysrhythmias to prognosticate the outcome of the pregnancy" @default.
- W4205207788 doi "https://doi.org/10.1002/uog.22587" @default.
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