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Fetal Tachycardia

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61. Supraventricular Tachycardia, Atrioventricular Node Reentry (Diagnosis)

Supraventricular Tachycardia, Atrioventricular Node Reentry (Diagnosis) Atrioventricular Node Reentry Supraventricular 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 (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk4ODc2LW92ZXJ2aWV3 processing > Atrioventricular Node Reentry Supraventricular Tachycardia Updated: May 30, 2014 Author: Glenn T Wetzel, MD, PhD; Chief Editor: Stuart Berger, MD Share Email Print Feedback Close Sections Sections Atrioventricular Node Reentry Supraventricular Tachycardia Overview Background Atrioventricular node re-entrant tachycardia (AVNRT) is a form of re-entrant rhythm within the region of the atrioventricular (AV) node. Re-entrant rhythms account for most episodes of supraventricular

2014 eMedicine Pediatrics

62. Supraventricular Tachycardia, Atrioventricular Node Reentry (Treatment)

Supraventricular Tachycardia, Atrioventricular Node Reentry (Treatment) Atrioventricular Node Reentry Supraventricular 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 (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk4ODc2LXRyZWF0bWVudA== processing > Atrioventricular Node Reentry Supraventricular Tachycardia Treatment & Management Updated: May 30, 2014 Author: Glenn T Wetzel, MD, PhD; Chief Editor: Stuart Berger, MD Share Email Print Feedback Close Sections Sections Atrioventricular Node Reentry Supraventricular Tachycardia Treatment Medical Care Patients with known supraventricular tachycardia (SVT) who are presenting with recurrence and receiving effective therapy usually do not require admission. New patients

2014 eMedicine Pediatrics

63. Ventricular Tachycardia (Overview)

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 (Overview) 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

64. Supraventricular Tachycardia, Atrioventricular Node Reentry (Overview)

Supraventricular Tachycardia, Atrioventricular Node Reentry (Overview) Atrioventricular Node Reentry Supraventricular 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 (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk4ODc2LW92ZXJ2aWV3 processing > Atrioventricular Node Reentry Supraventricular Tachycardia Updated: May 30, 2014 Author: Glenn T Wetzel, MD, PhD; Chief Editor: Stuart Berger, MD Share Email Print Feedback Close Sections Sections Atrioventricular Node Reentry Supraventricular Tachycardia Overview Background Atrioventricular node re-entrant tachycardia (AVNRT) is a form of re-entrant rhythm within the region of the atrioventricular (AV) node. Re-entrant rhythms account for most episodes of supraventricular

2014 eMedicine Pediatrics

65. Ventricular Tachycardia (Diagnosis)

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 (Diagnosis) 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

66. Intrapartum fetal surveillance

intrapartum CTG is unclear and may be related to the fetus moving less Normal intrapartum Term 1 · Baseline FHR of 110–160 bpm · Normal baseline variability present · Accelerations may or may not be present · No decelerations Preterm 28 · Baseline fetal heart at 20–24 weeks averages 155 bpm decreasing with advancing gestational age · Baseline rate will be around the upper limits of normal o Tachycardia reduces with gestational age · Baseline variability may be reduced due to tachycardia in preterm fetus (...) or presentation 3 Uterine hyperstimulation (tachysystole or hypertonus) · Oxytocin infusion · Recent vaginal prostaglandins insertion · Stop Oxytocin infusion 3,22 while reassessing labour and fetal state · Remove Prostaglandins (PGE2/Cervidil) o Refer to Queensland Clinical Guideline Induction of labour 22 · Terbutaline 250 micrograms subcutaneously or intravenously (IV) 2,3,11 · Sublingual Glyceryl Trinitrate* (GTN) spray 400 micrograms 2 · Salbutamol 100 micrograms IV 2 Maternal tachycardia/ pyrexia

2010 Clinical Practice Guidelines Portal

67. FAST Therapy Trial of Fetal Tachyarrhythmia

flutter (AF) and other forms of supraventricular tachycardia (SVT), is the most common cause of intended in-utero fetal therapy, none of the medication used to date has been evaluated for their effects on the mother and her baby in a randomized controlled trial (RCT). As a consequence, physicians need to make decisions about the management of such pregnancies without any evidence from controlled trials on drug efficacy and safety and no consensus among specialists for the optimal management. The Fetal (...) Atrial Flutter and Supraventricular Tachycardia (FAST) Therapy Trial is a prospective multi-center trial that addresses this knowledge gap to guide future fetal SVA therapy to the best of care. Study components of FAST include three prospective sub-studies to determine the efficacy and safety of commonly used transplacental drug regimens in suppressing fetal AF without hydrops (RCT A), SVT without hydrops (RCT B), and SVT with hydrops (RCT C). All RCTs are open label phase III trials of standard 1st

2015 Clinical Trials

68. Effect of Epidural Analgesia on the Length of Labor and Delivery and Fetal Outcomes

decelerations [ Time Frame: Time of first analgesic dose to 60 minutes ] fetal tachycardia [ Time Frame: Time of first analgesic dose to 60 minutes ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below (...) Effect of Epidural Analgesia on the Length of Labor and Delivery and Fetal Outcomes Effect of Epidural Analgesia on the Length of Labor and Delivery and Fetal Outcomes - 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 or more studies before

2015 Clinical Trials

69. Electronic Fetal Monitoring Patterns Associated with Respiratory Morbidity in Term Neonates. (PubMed)

for confounders.Of 4736 neonates, 175 (3.4%) experienced respiratory morbidity. Most electronic fetal monitoring patterns were category II (96.6%; n = 4575). Baseline tachycardia (adjusted odds ratio [aOR], 2.9; 95% confidence interval [CI], 1.9-4.4), marked variability (aOR, 2.7; 95% CI, 1.5-5.0), and prolonged decelerations (aOR,2.7; 95% CI, 1.5-5.0) were significantly associated with an increased likelihood of term neonatal respiratory morbidity. Accelerations and persistent moderate variability were both (...) significantly associated with a decreased likelihood of respiratory morbidity.Specific features of category II electronic fetal monitoring patterns make respiratory morbidity more likely in nonanomalous term infants. Tachycardia, marked variability, or prolonged decelerations before delivery can assist providers in anticipating the potential need for neonatal respiratory support.Copyright © 2015 Elsevier Inc. All rights reserved.

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2015 American Journal of Obstetrics and Gynecology

70. Severe fetal acidemia in cases of clinical chorioamnionitis in which the infant later developed cerebral palsy. (PubMed)

, the frequency of severe acidemia was significantly less in Group I (odds ratio (OR) 0.12, 95 % confidence interval (CI) 0.03-0.53) than in Group II, while the frequency of fetal tachycardia was greater in Group I (OR 7.61, 95 % CI 1.82-31.7) than in Group II, after adjusting for confounding effects.The frequency of severe acidemia was lower in the cases of clinical CAM in which the infant later developed severe cerebral palsy than in the cases without clinical CAM. The relation of fetal tachycardia to CP (...) Severe fetal acidemia in cases of clinical chorioamnionitis in which the infant later developed cerebral palsy. The umbilical arterial pH (UApH) in cases of clinically apparent chorioamnionitis (CAM) in which the infant later develop severe cerebral palsy (CP) has not yet been fully investigated. The objective of this study was to determine the UApH in CAM cases in which the infant later develop severe CP.A review was conducted unti1 April 2014 among 324 infants with CP diagnosed to be caused

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2015 BMC Pregnancy and Childbirth

71. Electrophysiologic features of fetal ventricular aneurysms and diverticula. (PubMed)

bigeminy and trigeminy were found in three fetuses with CVAs and in one with CVD, who also had ventricular couplets. The other fetus with CVD, referred because of PVCs, had only sinus tachycardia. ST elevation was noted in two. Fetal movement had a variable impact on PVCs. Postnatal evaluation demonstrated two persistent left ventricular aneurysms and one persistent right CVD; one CVD resolved at 35-week gestation. Two neonates had incessant PVCs. Both arrhythmias resolved spontaneously while being (...) Electrophysiologic features of fetal ventricular aneurysms and diverticula. Congenital ventricular wall defects are very rare and include congenital ventricular aneurysms (CVAs) and diverticula (CVDs).We report a series of five fetuses: three with CVAs and two with CVDs referred due to fetal arrhythmia. In addition to routine fetal echocardiography, fetal magnetocardiography (fMCG) was used. The literature in CVA and CVD is reviewed.Incessant premature ventricular contractions (PVC), mainly

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2015 Prenatal diagnosis

72. Comparison of effects of nifedipine and ritodrine on maternal and fetal blood flow patterns in preterm labor. (PubMed)

elapsed till delivery, fetal mortality, and maternal morbidity in both the groups were not statistically significant (p>0.05). However, maternal side effects such as tachycardia was more frequent (p<0.05) in the ritodrine group. Besides, in the ritodrine group, anxiety was only minimally observed.Nifedipine and ritodrine used as tocolytic agents did not significantly alter early- and late-onset changes in Doppler ultrasonography parameters in fetal and fetomaternal circulation. (...) Comparison of effects of nifedipine and ritodrine on maternal and fetal blood flow patterns in preterm labor. The aim of this study was to investigate and compare the effects of nifedipine and ritodrine treatment on fetomaternal blood flow parameters in women with preterm labor.Sixty women with gestational age between 24 and 36 weeks admitted to the obstetrics clinic for preterm labor were enrolled in this study. Patients were randomly assigned to receive either nifedipine (n=30) or ritodrine

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2015 Journal of the Turkish German Gynecological Association Controlled trial quality: uncertain

73. Fetal arrhythmias associated with cardiac rhabdomyomas. (PubMed)

Fetal arrhythmias associated with cardiac rhabdomyomas. Primary heart tumors in fetuses are rare and mainly represent rhabdomyomas. The tumors have a variable expression and can be associated with arrhythmias, including both wide and narrow QRS tachycardia. Although multiple Doppler techniques exist to assess fetal heart rhythm, it can be difficult to record precise electrophysiological abnormalities in fetal life.Investigations defining precise electrophysiological diagnosis were performed (...) by using fetal magnetocardiography (fMCG).In addition to routine fetal echocardiography, fMCG was used to investigate electrophysiological rhythm patterns in a series of 10 fetuses with cardiac rhabdomyomas.The mean gestational age of the fetuses was 28.6 ± 4.7 weeks. The multiple rhabdomyomas were mainly located in the right and left ventricles as well as around the atrioventricular groove. Arrhythmias or conduction abnormalities were diagnosed in all 10 patients, although only 6 of them were referred

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2014 Heart Rhythm

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

fetal arrhythmias (eg, sustained supraventricular extrasystoles, atrial flutter), supraventricular tachycardias, and congenital complete heart block Surgical interventions in invasive fetal therapy include the following three approaches: US-guided vesicoamniotic and, less commonly, thoracoamniotic shunt placement Fetoscopic techniques for ligation of umbilical cords in acardiac twins, selective laser photocoagulation of communicating vessels in twin-to-twin transfusions, and ablation of posterior (...) 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

2014 eMedicine Pediatrics

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

fetal arrhythmias (eg, sustained supraventricular extrasystoles, atrial flutter), supraventricular tachycardias, and congenital complete heart block Surgical interventions in invasive fetal therapy include the following three approaches: US-guided vesicoamniotic and, less commonly, thoracoamniotic shunt placement Fetoscopic techniques for ligation of umbilical cords in acardiac twins, selective laser photocoagulation of communicating vessels in twin-to-twin transfusions, and ablation of posterior (...) 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

2014 eMedicine Pediatrics

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

fetal arrhythmias (eg, sustained supraventricular extrasystoles, atrial flutter), supraventricular tachycardias, and congenital complete heart block Surgical interventions in invasive fetal therapy include the following three approaches: US-guided vesicoamniotic and, less commonly, thoracoamniotic shunt placement Fetoscopic techniques for ligation of umbilical cords in acardiac twins, selective laser photocoagulation of communicating vessels in twin-to-twin transfusions, and ablation of posterior (...) 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

2014 eMedicine Pediatrics

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

fetal arrhythmias (eg, sustained supraventricular extrasystoles, atrial flutter), supraventricular tachycardias, and congenital complete heart block Surgical interventions in invasive fetal therapy include the following three approaches: US-guided vesicoamniotic and, less commonly, thoracoamniotic shunt placement Fetoscopic techniques for ligation of umbilical cords in acardiac twins, selective laser photocoagulation of communicating vessels in twin-to-twin transfusions, and ablation of posterior (...) 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

2014 eMedicine Pediatrics

78. Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth (PubMed)

Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth Transient episodes of fetal bradycardia (heart rate less than 110 bpm) are usually benign and typically result from increased vagal stimulation in the fetus. Causes of sustained fetal bradycardia include sinus bradycardia, blocked atrial bigeminy/trigeminy, high-degree atrioventricular block, and long QT syndrome. We present the case of a 34-year-old Caucasian patient referred to our department (...) for "blocked atrial bigeminy with pseudobradycardia" detected elsewhere at 33 weeks of gestation. A fetal echocardiography showed during all the examination a blocked atrial trigeminy with a mean fetal heart rate of 100 bpm. After birth three subsequent ECGs until day 3 showed no evidence of atrial extrasystoles, confirming the well-known frequent regression of this kind of fetal benign arrhythmia, but on day 11 recurrence of supraventricular trigeminy and development of episodes of paroxystic

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2012 Case reports in obstetrics and gynecology

79. Successful electrical cardioversion of supraventricular tachycardia in a pregnant patient (PubMed)

Successful electrical cardioversion of supraventricular tachycardia in a pregnant patient Pregnancy can precipitate cardiac arrhythmias not previously present in seemingly well individuals. Atrial and ventricular premature beats are frequently present during pregnancy and are usually benign. Supraventricular tachycardia and malignant ventricular tachyarrhythmias occur less frequently. Maternal and fetal arrhythmias occurring during pregnancy may jeopardize the life of the mother and the fetus.A (...) 32-year-old pregnant women at 26 weeks gestation presented to the emergency department with palpitation. She had mild chest discomfort after a supraventricular tachycardia (SVT) episode but did not have syncope. After monitoring and access of an IV line, vagal manoeuvres were applied but the rhythm was resistant. Then she was treated with 5 mg metoprolol IV, but the SVT persisted. Then after IV infusion of adenosine triphosphate 6 to 12 mg, the rhythm was resistant. Synchronized cardioversion

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2012 The American journal of case reports

80. Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline

Fetal Health Surveillance: Antepartum & Intrapartum Consensus Guideline British Columbia Perinatal Health Program F5 – 4500 Oak Street Vancouver, BC Canada V6H 3N1 Tel: 604.875.3737 Web: www.bcphp.ca While every attempt has been made to ensure that the information contained herein is clinically accurate and current, the BCPHP acknowledges that many issues remain controversial, and therefore may be subject to practice interpretation. © BCPHP, 2008 Inside SOGC - BCPHP Fetal Healt H Surveillan Ce (...) : a nte Partum and i ntra Partum C On Sen Su S Guideline SOGC CLINICAL PRACTICE GUIDELINE S3 RECOMMENDATIONS S5 Chapter 1 Antenatal Fetal Assessment S5 Chapter 2 Intrapartum Fetal Assessment S5 Chapter 3 Quality Improvements and Risk Management S6 INTRODUCTION S7 CHAPTER 1 ANTENATAL FETAL SURVEILLANCE S9 ANTENATAL FETAL TESTING TECHNIQUES S9 PATIENTS AT RISK S9 WHEN TO INITIATE ANTENATAL TESTING S9 FREQUENCY OF TESTING S10 METHODS OF ANTENATAL FETAL SURVEILLANCE S11 Fetal Movement Counting S11 Non

2008 British Columbia Perinatal Health Program

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