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Fetal Tachycardia

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41. Antenatal antiarrhythmic treatment for fetal tachyarrhythmias: a study protocol for a prospective multicentre trial. (PubMed)

of this study is to evaluate the efficacy and safety of the protocol-defined transplacental treatment of fetal tachyarrhythmias. Participant recruitment began in October 2010.The current study is a multicentre, single-arm interventional study. A total of 50 fetuses will be enrolled from 15 Japanese institutions. The protocol-defined transplacental treatment is performed for singletons with sustained fetal tachyarrhythmia ≥180 bpm, with a diagnosis of supraventricular tachycardia or atrial flutter. Digoxin (...) Antenatal antiarrhythmic treatment for fetal tachyarrhythmias: a study protocol for a prospective multicentre trial. Several retrospective or single-centre studies demonstrated the efficacy of transplacental treatment of fetal tachyarrhythmias. Our retrospective nationwide survey showed that the fetal therapy will be successful at an overall rate of 90%. For fetuses with hydrops, the treatment success rate will be 80%. However, standard protocol has not been established. The objective

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2017 BMJ open

42. 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

43. Fetal neonatal hyperthyroidism: diagnostic and therapeutic approachment (PubMed)

Fetal neonatal hyperthyroidism: diagnostic and therapeutic approachment Fetal and neonatal hyperthyroidism may occur in mothers with Graves' disease. Fetal thyrotoxicosis manifestation is observed with the transition of TSH receptor stimulating antibodies to the fetus from the 17th-20th weeks of pregnancy and with the fetal TSH receptors becoming responsive after 20 weeks. The diagnosis is confirmed by fetal tachycardia, goiter and bone age advancement in pregnancy and maternal treatment (...) is conducted in accordance. The probability of neonatal hyperthyroidism is high in the babies of mothers that have ongoing antithyroid requirement and higher antibody levels in the last months of pregnancy. Clinical manifestation may be delayed by 7-17 days because of the antithyroid drugs taken by the mother. Neonatal hyperthyroidism symptoms can be confused with sepsis and congenital viral infections. Herein, the diagnosis and therapeutic approach are reviewed in cases of fetal neonatal hyperthyroidism.

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2017 Turkish Archives of Pediatrics/Türk Pediatri Arşivi

44. Assessment of Fetal Development Using Cardiac Valve Intervals (PubMed)

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

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2017 Frontiers in physiology

45. The diagnosis and management of long QT syndrome based on fetal echocardiography (PubMed)

, 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

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2017 HeartRhythm Case Reports

46. 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

47. 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

48. 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

49. 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

50. AIUM Practice Parameter for the Performance of Fetal Echocardiography

. A normal fetal heart rate at mid-gestation is 120 to 180 beats per minute. If bradycardia or tachycardia is documented, or if the rhythm is noted to be irregular, simultaneous assessment of atrial and ventricular contraction should be performed using either simultaneous Doppler sonogra- phy of the mitral inflow–aortic outflow or superior vena cava–ascending aorta or by M-mode sonography of the atrium and ventricle to determine the underlying mechanism. An alternative approach using tissue Doppler (...) AIUM Practice Parameter for the Performance of Fetal Echocardiography AIUM Practice Parameter for the Performance of Fetal Echocardiography © 2013 by the American Institute of Ultrasound in Medicine Parameter developed in conjunction with the American College of Obstetricians and Gynecologists (ACOG), the Society for Maternal-Fetal Medicine (SMFM), and the American Society of Echocardiography (ASE), and endorsed by the American College of Radiology (ACR). fetalEcho.qxp_1115 12/1/15 3:11 PM Page

2013 American Institute of Ultrasound in Medicine

51. The natural history of fetal long QT syndrome (PubMed)

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 (...) The natural history of fetal long QT syndrome Fetal magnetocardiography (fMCG), the magnetic analog of ECG, has provided invaluable insight into the mechanisms of fetal arrhythmias. In the past 15years, we have evaluated over 300 fetuses with arrhythmia by fMCG. We review the unique characteristics and natural history of the long QT syndrome (LQTS) rhythms.We reviewed the fMCGs of subjects referred with suspected LQTS based on either a positive family history or echo diagnosis of the LQTS

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2016 Journal of electrocardiology

52. 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

53. Ductus venosus Doppler in the assessment of fetal cardiovascular health: an updated practical approach. (PubMed)

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

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2016 Acta Obstetricia et Gynecologica Scandinavica

54. Absence of accelerations during labor is of little value in interpretation of fetal heart rate patterns. (PubMed)

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. Fetal Atrial Flutter: Electrophysiology and Associations With Rhythms Involving an Accessory Pathway (PubMed)

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 (...) Fetal Atrial Flutter: Electrophysiology and Associations With Rhythms Involving an Accessory Pathway Atrial flutter (AFl) accounts for up to one third of all fetal tachyarrhythmias and can result in premature delivery, hydrops, and fetal death in 10% of cases; however, the electrophysiology of AFl in utero is virtually unstudied.In this observational study, we reviewed 19 fetal magnetocardiography studies from 16 fetuses: 15 fetuses (21-38 weeks' gestation) referred with an echocardiographic

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

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

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. Late Intrauterine Fetal Death and Stillbirth

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 (...) be found in a Joint Report by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Pathologists. 2 2. Background The Perinatal Mortality Surveillance Report (CEMACH) 3 defined stillbirth as ‘a baby delivered with no signs of life known to have died after 24 completed weeks of pregnancy’. Intrauterine fetal death refers to babies with no signs of life in utero. Stillbirth is common, with 1 in 200 babies born dead. 3 This compares with one sudden infant death per 10 000

2010 Royal College of Obstetricians and Gynaecologists

58. Ventricular Tachycardia (Follow-up)

Fetal Neonatal Ed . 2006 Nov. 91(6):F419-22. . Davis AM, Gow RM, McCrindle BW, Hamilton RM. Clinical spectrum, therapeutic management, and follow-up of ventricular tachycardia in infants and young children. Am Heart J . 1996 Jan. 131(1):186-91. . Pfammatter JP, Paul T. Idiopathic ventricular tachycardia in infancy and childhood: a multicenter study on clinical profile and outcome. Working Group on Dysrhythmias and Electrophysiology of the Association for European Pediatric Cardiology. J Am Coll (...) Ventricular Tachycardia (Follow-up) Pediatric Ventricular Tachycardia: Overview of Ventricular Arrhythmias, Pathophysiology of VA, Epidemiology of VA 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

59. Ventricular Tachycardia (Treatment)

Fetal Neonatal Ed . 2006 Nov. 91(6):F419-22. . Davis AM, Gow RM, McCrindle BW, Hamilton RM. Clinical spectrum, therapeutic management, and follow-up of ventricular tachycardia in infants and young children. Am Heart J . 1996 Jan. 131(1):186-91. . Pfammatter JP, Paul T. Idiopathic ventricular tachycardia in infancy and childhood: a multicenter study on clinical profile and outcome. Working Group on Dysrhythmias and Electrophysiology of the Association for European Pediatric Cardiology. J Am Coll (...) Ventricular Tachycardia (Treatment) Pediatric Ventricular Tachycardia: Overview of Ventricular Arrhythmias, Pathophysiology of VA, Epidemiology of VA 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

60. Supraventricular Tachycardia, Atrioventricular Node Reentry (Follow-up)

Clinical Electrophysiology . Jan 2014. e-pub. . Dixon J, Foster K, Wyllie J, Wren C. Guidelines and adenosine dosing in supraventricular tachycardia. Arch Dis Child . 2005 Nov. 90(11):1190-1. . Ratnasamy C, Rossique-Gonzalez M, Young ML. Pharmacological therapy in children with atrioventricular reentry: which drug?. Curr Pharm Des . 2008. 14(8):753-61. . Shah A, Moon-Grady A, Bhogal N, Collins KK, Tacy T, Brook M, et al. Effectiveness of Sotalol as First-Line Therapy for Fetal Supraventricular (...) Supraventricular Tachycardia, Atrioventricular Node Reentry (Follow-up) Atrioventricular Node Reentry Supraventricular Tachycardia Follow-up: Patient Education 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

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