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Fetal Tachycardia

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41. Assessment of Fetal Development Using Cardiac Valve Intervals Full Text available with Trip Pro

Assessment of Fetal Development Using Cardiac Valve Intervals An automated method to assess the fetal physiological development is introduced which uses the component intervals between fetal cardiac valve timings and the Q-wave of fetal electrocardiogram (fECG). These intervals were estimated automatically from one-dimensional Doppler Ultrasound and noninvasive fECG. We hypothesize that the fetal growth can be estimated by the cardiac valve intervals. This hypothesis was evaluated by modeling (...) the fetal development using the cardiac intervals and validating against the gold standard gestational age identified by Crown-Rump Length (CRL). Among the intervals, electromechanical delay time, isovolumic contraction time, ventricular filling time and their interactions were selected in a stepwise regression process that used gestational age as the target in a cohort of 57 fetuses. Compared with the gold standard age, the newly proposed regression model resulted in a mean absolute error of 3.8 weeks

2017 Frontiers in physiology

42. The diagnosis and management of long QT syndrome based on fetal echocardiography Full Text available with Trip Pro

, Los Angeles, California. Moore Jeremy P JP Department of Pediatrics, David Geffen School of Medicine at University of California Los Angeles, and University of California Los Angeles Mattel Children's Hospital, Los Angeles, California. eng Case Reports 2017 07 18 United States HeartRhythm Case Rep 101656239 2214-0271 Atrioventricular block Fetal echocardiography Long QT syndrome Sudden death Ventricular tachycardia 2017 9 27 6 0 2017 9 28 6 0 2017 9 28 6 1 epublish 28948143 10.1016/j.hrcr (...) The diagnosis and management of long QT syndrome based on fetal echocardiography 28948143 2019 02 26 2214-0271 3 9 2017 Sep HeartRhythm case reports HeartRhythm Case Rep The diagnosis and management of long QT syndrome based on fetal echocardiography. 407-410 10.1016/j.hrcr.2017.04.007 Blais Benjamin A BA Department of Pediatrics, David Geffen School of Medicine at University of California Los Angeles, and University of California Los Angeles Mattel Children's Hospital, Los Angeles, California

2017 HeartRhythm Case Reports

43. Maternal- Fetal Infection

] Presence or lack of specific bacteriological sequences detected by global sequencing and metagenomics analyses Chorioamnionitis [ Time Frame: Day 0 ] Clinical or paraclinical factors associated with risk of chorioamnionitis or maternal fetal infection such as prematurity, clinical signs (maternal fever, fetal tachycardia, increase in C-reactive protein, hyperleukocytosis, pus-like amniotic fluid) , oligohydramnios (defined by the greatest cistern < 25 mm); increase in pro-calcitonin in umbilical cord (...) in umbilical cord blood vessels. Chorioamnionitis [ Time Frame: until 20 weeks ] Clinical or paraclinical factors associated with risk of chorioamnionitis or maternal fetal infection such as prematurity, clinical signs (maternal fever, fetal tachycardia, increase in C-reactive protein, hyperleukocytosis, pus-like amniotic fluid) , oligohydramnios (defined by the greatest cistern < 25 mm); increase in pro-calcitonin in umbilical cord ok histological signs of placental inflammation. Clinical chorioamnionitis

2017 Clinical Trials

44. Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Treatment)

factors, and treatment. Ann Thorac Surg . 2002 Nov. 74(5):1607-11. . Andreasen JB, Johnsen SP, Ravn HB. Junctional ectopic tachycardia after surgery for congenital heart disease in children. Intensive Care Med . 2008 May. 34(5):895-902. . Zhao H, Cuneo BF, Strasburger JF, Huhta JC, Gotteiner NL, Wakai RT. Electrophysiological characteristics of fetal atrioventricular block. J Am Coll Cardiol . 2008 Jan 1. 51(1):77-84. . Borgman KY, Smith AH, Owen JP, Fish FA, Kannankeril PJ. A genetic contribution (...) Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Treatment) Junctional Ectopic Tachycardia Treatment & Management: Medical Care, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

45. Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Follow-up)

factors, and treatment. Ann Thorac Surg . 2002 Nov. 74(5):1607-11. . Andreasen JB, Johnsen SP, Ravn HB. Junctional ectopic tachycardia after surgery for congenital heart disease in children. Intensive Care Med . 2008 May. 34(5):895-902. . Zhao H, Cuneo BF, Strasburger JF, Huhta JC, Gotteiner NL, Wakai RT. Electrophysiological characteristics of fetal atrioventricular block. J Am Coll Cardiol . 2008 Jan 1. 51(1):77-84. . Borgman KY, Smith AH, Owen JP, Fish FA, Kannankeril PJ. A genetic contribution (...) Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Follow-up) Junctional Ectopic Tachycardia Treatment & Management: Medical Care, Surgical Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

46. Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Diagnosis)

. Intensive Care Med . 2008 May. 34(5):895-902. . Zhao H, Cuneo BF, Strasburger JF, Huhta JC, Gotteiner NL, Wakai RT. Electrophysiological characteristics of fetal atrioventricular block. J Am Coll Cardiol . 2008 Jan 1. 51(1):77-84. . Borgman KY, Smith AH, Owen JP, Fish FA, Kannankeril PJ. A genetic contribution to risk for postoperative junctional ectopic tachycardia in children undergoing surgery for congenital heart disease. Heart Rhythm . 2011 Dec. 8(12):1900-4. . . Imamura M, Dossey AM, Garcia X (...) Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Diagnosis) Junctional Ectopic Tachycardia: Background, Pathophysiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk4OTg5LW92ZXJ2aWV3

2014 eMedicine Pediatrics

47. Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Overview)

. Intensive Care Med . 2008 May. 34(5):895-902. . Zhao H, Cuneo BF, Strasburger JF, Huhta JC, Gotteiner NL, Wakai RT. Electrophysiological characteristics of fetal atrioventricular block. J Am Coll Cardiol . 2008 Jan 1. 51(1):77-84. . Borgman KY, Smith AH, Owen JP, Fish FA, Kannankeril PJ. A genetic contribution to risk for postoperative junctional ectopic tachycardia in children undergoing surgery for congenital heart disease. Heart Rhythm . 2011 Dec. 8(12):1900-4. . . Imamura M, Dossey AM, Garcia X (...) Supraventricular Tachycardia, Junctional Ectopic Tachycardia (Overview) Junctional Ectopic Tachycardia: Background, Pathophysiology, Prognosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk4OTg5LW92ZXJ2aWV3

2014 eMedicine Pediatrics

48. Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy. (Abstract)

at 15 weeks of gestation. Her care involved a multidisciplinary team including cardiology, maternal-fetal medicine, obstetric nursing, cardiac nursing, and anesthesia. A simulation scenario was designed to prepare for cardiac events during labor. A term intrapartum cesarean delivery was performed for fetal indications.A multidisciplinary approach to the antepartum, intrapartum, and postpartum care of women with catecholaminergic polymorphic ventricular tachycardia is critical to a team-based (...) Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy. Catecholaminergic polymorphic ventricular tachycardia is a genetic disorder in which ventricular tachycardia occurs in the absence of structural heart disease or a prolonged QT interval. If untreated, there is a high incidence of sudden cardiac death. Management of this cardiac condition during pregnancy merits a multidisciplinary approach.A nulliparous woman with catecholaminergic polymorphic ventricular tachycardia presented

2016 Obstetrics and Gynecology

49. Catheter Ablation of Supraventricular Tachycardia Without Fluoroscopy During Pregnancy. (Abstract)

Catheter Ablation of Supraventricular Tachycardia Without Fluoroscopy During Pregnancy. Although uncommon, supraventricular tachycardia is difficult to manage during pregnancy. Catheter ablation traditionally has been deferred owing to radiation exposure risks. Three-dimensional mapping is a new tool in cardiac electrophysiology, which is being utilized to eliminate fluoroscopy during catheter ablation. We report a case of ablation of supraventricular tachycardia during pregnancy without using (...) fluoroscopy.A 27-year-old woman with a 22-week twin gestation was referred for incessant supraventricular tachycardia. Medical management with propranolol and flecainide was unsuccessful. An electrophysiology study was performed with catheter navigation guided by a three-dimensional mapping system instead of fluoroscopy. The patient underwent successful cryoablation. The procedure was performed without fluoroscopy or sedation. The patient delivered healthy twins at 35 weeks of gestation without

2015 Obstetrics and Gynecology

50. The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Treatment)

with Doppler US or electrodes on the maternal abdomen or a fetal scalp electrode placed after rupture of membranes, in conjunction with the simultaneous recording of uterine activity with a tocodynamometer. After 32 weeks' gestation, the fetus responds to uterine contractions with tachycardia. The criteria for reactive test results are the following: Heart rate of 120-160 beats/min - Fetal tachycardia may be due to fever, drugs, or fetal arrhythmias or hypoxemia Normal beat-to-beat variability of more than (...) The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Treatment) Prenatal Diagnosis and Fetal Therapy: Practice Essentials, Fetus as Patient, Options for Prenatal Diagnosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

51. The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Follow-up)

with Doppler US or electrodes on the maternal abdomen or a fetal scalp electrode placed after rupture of membranes, in conjunction with the simultaneous recording of uterine activity with a tocodynamometer. After 32 weeks' gestation, the fetus responds to uterine contractions with tachycardia. The criteria for reactive test results are the following: Heart rate of 120-160 beats/min - Fetal tachycardia may be due to fever, drugs, or fetal arrhythmias or hypoxemia Normal beat-to-beat variability of more than (...) The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Follow-up) Prenatal Diagnosis and Fetal Therapy: Practice Essentials, Fetus as Patient, Options for Prenatal Diagnosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

52. The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Diagnosis)

with Doppler US or electrodes on the maternal abdomen or a fetal scalp electrode placed after rupture of membranes, in conjunction with the simultaneous recording of uterine activity with a tocodynamometer. After 32 weeks' gestation, the fetus responds to uterine contractions with tachycardia. The criteria for reactive test results are the following: Heart rate of 120-160 beats/min - Fetal tachycardia may be due to fever, drugs, or fetal arrhythmias or hypoxemia Normal beat-to-beat variability of more than (...) The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Diagnosis) Prenatal Diagnosis and Fetal Therapy: Practice Essentials, Fetus as Patient, Options for Prenatal Diagnosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

53. The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Overview)

with Doppler US or electrodes on the maternal abdomen or a fetal scalp electrode placed after rupture of membranes, in conjunction with the simultaneous recording of uterine activity with a tocodynamometer. After 32 weeks' gestation, the fetus responds to uterine contractions with tachycardia. The criteria for reactive test results are the following: Heart rate of 120-160 beats/min - Fetal tachycardia may be due to fever, drugs, or fetal arrhythmias or hypoxemia Normal beat-to-beat variability of more than (...) The Fetus as a Patient: Prenatal Diagnosis and Fetal Therapy (Overview) Prenatal Diagnosis and Fetal Therapy: Practice Essentials, Fetus as Patient, Options for Prenatal Diagnosis Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

54. Absence of accelerations during labor is of little value in interpretation of fetal heart rate patterns. Full Text available with Trip Pro

Absence of accelerations during labor is of little value in interpretation of fetal heart rate patterns. The aim of this study was to investigate the correlation between increasing time since fetal heart rate (FHR) accelerations, positive (no acceleration) stimulation tests and fetal acidemia.Observational study of FHR recordings from 1070 laboring women with indication for fetal scalp blood sampling (FBS). FHR traces were scrutinized regarding acceleration at FBS and duration since most recent (...) acceleration. The appraiser was blinded to the FBS result.At the first sampling, 8.8% of fetuses had lactate concentration >4.8 mmol/L. There were no differences between those with recent accelerations (≤60 min), and absent accelerations (>60 min or never) prior to FBS (8.3% vs. 8.9%, p = 0.71). Corresponding analyses for subgroups were: fetuses with isolated absence of accelerations, 3.7% vs. 1.5% (p = 0.41), fetuses without decelerations (i.e. reduced variability and/or tachycardia), 6.1% vs. 5.1% (p

2016 Acta Obstetricia et Gynecologica Scandinavica

55. Ductus venosus Doppler in the assessment of fetal cardiovascular health: an updated practical approach. Full Text available with Trip Pro

to identify the underlying mechanism. The role of ductus venosus Doppler in the assessment of fetal growth restriction, supraventricular tachycardia, fetal hydrops, complicated monochorionic twins and congenital heart disease is discussed with these considerations in mind.© 2016 Nordic Federation of Societies of Obstetrics and Gynecology. (...) Ductus venosus Doppler in the assessment of fetal cardiovascular health: an updated practical approach. The ductus venosus has a central role in the distribution of highly oxygenated umbilical venous blood to the heart. Its waveform is related to the pressure-volume changes in the cardiac atria and it is therefore important in the monitoring of any fetal condition that may affect forward cardiac function. The cardiovascular parameters that can influence forward cardiac function include

2016 Acta Obstetricia et Gynecologica Scandinavica

56. Randomized double-blind comparison of ephedrine and phenylephrine for management of post-spinal hypotension in potential fetal compromise. (Abstract)

Randomized double-blind comparison of ephedrine and phenylephrine for management of post-spinal hypotension in potential fetal compromise. Most studies comparing phenylephrine and ephedrine have been conducted during elective caesarean sections in healthy mothers with no fetal compromise. The effect of vasopressors on fetal outcome may differ between healthy and compromised fetuses. There has been little research into the effect of phenylephrine and ephedrine, when used for management of post (...) -spinal hypotension in the presence of potential fetal compromise.Healthy women with a singleton pregnancy undergoing emergency caesarean section for fetal compromise under spinal anaesthesia were studied. One-hundred-and-six consecutive subjects, who developed hypotension after spinal anaesthesia, were randomly allocated to two groups of 53 each, to receive either phenylephrine (Group P) or ephedrine (Group E). For every systolic blood pressure reading <100mmHg patients received phenylephrine 100μg

2016 International journal of obstetric anesthesia Controlled trial quality: uncertain

57. Fetal Atrial Flutter: Electrophysiology and Associations With Rhythms Involving an Accessory Pathway Full Text available with Trip Pro

diagnosis of AFl and 1 fetus (20 weeks' gestation) referred with a diagnosis of tachycardia that was shown by fetal magnetocardiography to have transient AFl in addition to atrioventricular reciprocating tachycardia. Thirteen fetuses showed AFl during the fetal magnetocardiography session, including 4 that presented prior to the third trimester. Five fetuses had incessant AFl; all but 1 of the others with AFl showed additional significant rhythms. Specifically, AFl showed a strong association (...) rare.Fetal AFl can occur as early as midgestation and is often accompanied by atrioventricular reciprocating tachycardia and other rhythms associated with an accessory pathway. The findings depict critical differences in the electrophysiology of AFl in the fetus versus the neonate.© 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

2016 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

58. The natural history of fetal long QT syndrome Full Text available with Trip Pro

normals. We correlated fetal heart rate (FHR) patterns and effects of fetal movement on FHR and rhythm using actocardiography.Thirty-nine fetuses were studied at a mean of 28 (19-38) weeks of gestation. All had structurally normal hearts. One was on amiodarone for suspected supraventricular tachycardia and hydrops. Five had serial fMCGs. Isolated sinus bradycardia with a QTc >490ms was found in 35: 33 had a KCNQ1 mutation There was one false positive and one false negative LQTS diagnosis. Four fetuses (...) had torsades de pointes (TdP) and 3 had periods of 2:1 conduction and either KCNH2 or SCN5A mutations. TdP was rarely initiated with a preceding long-short pattern and did not degenerate into ventricular fibrillation. One fetus with TdP died in utero, 2 with fetal TdP had postnatal cardiac arrest.Fetal LQTS is diagnosed by an fMCG QTc >490ms with an 89% sensitivity and specificity. TdP are seen with uncharacterized, KCNH2 or SCN5A R1623q mutations. Fetal TdP occurs when QTc ≥620ms. Identifying

2016 Journal of electrocardiology

59. Multimodal Monitoring of Fetal Risk of Inflammation in Preterm Premature Rupture of Membranes

serum parameters) as well as fetal signs of acute FIRS (i.e. fetal tachycardia, high cytokine level in amniotic fluid obtained by amniocentesis). Changes of fetal ECG-parameters are also a sign of an acute FIRS. Currently, there is no adequate parameter for the surveillance of a possible ongoing intra-amniotic infection. Other studies have reported a correlation between vaginal fluid interleukine 6 (IL6) collected noninvasively and the risk of FIRS and EOS. Information obtained by computerized fetal (...) Multimodal Monitoring of Fetal Risk of Inflammation in Preterm Premature Rupture of Membranes Multimodal Monitoring of Fetal Risk of Inflammation in Preterm Premature Rupture of Membranes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2016 Clinical Trials

60. Late Intrauterine Fetal Death and Stillbirth

maternal tachycardia, atypical pain, vaginal bleeding, haematuria on catheter specimen and maternal collapse. 114 No studies were found into the safety and effectiveness of oxytocin augmentation in VBAC with IUFD. Women with previous caesarean section and a live fetus who need augmentation of labour have a 73.9% of achieving vaginal delivery. 128 RCOG Green-top Guideline No. 55 16 of 33 © Royal College of Obstetricians and Gynaecologists P D D Evidence level 3 Evidence level 1+ Evidence level 3 D (...) Late Intrauterine Fetal Death and Stillbirth Late Intrauterine Fetal Death and Stillbirth Green–top Guideline No. 55 October 2010RCOG Green-top Guideline No. 55 2 of 33 © Royal College of Obstetricians and Gynaecologists Late Intrauterine Fetal Death and Stillbirth This is the first edition of this guideline. 1. Purpose and scope To identify evidence-based options for women (and their relatives) who have a late intrauterine fetal death (IUFD: after 24 completed weeks of pregnancy

2010 Royal College of Obstetricians and Gynaecologists

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