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Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies
Fetal dysrhythmias are common abnormalities, which can be categorized into three types: rhythm irregularities, tachyarrhythmias, and bradyarrhythmias. Fetal arrhythmias, especially in high-risk pregnancies, require special monitoring and treatment. The aim of this study was to assess the stillbirth...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914765/ https://www.ncbi.nlm.nih.gov/pubmed/36766595 http://dx.doi.org/10.3390/diagnostics13030489 |
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author | Springer, Stephanie Karner, Eva Seidl-Mlczoch, Elisabeth Yerlikaya-Schatten, Guelen Pateisky, Petra Ulm, Barbara |
author_facet | Springer, Stephanie Karner, Eva Seidl-Mlczoch, Elisabeth Yerlikaya-Schatten, Guelen Pateisky, Petra Ulm, Barbara |
author_sort | Springer, Stephanie |
collection | PubMed |
description | Fetal dysrhythmias are common abnormalities, which can be categorized into three types: rhythm irregularities, tachyarrhythmias, and bradyarrhythmias. Fetal arrhythmias, especially in high-risk pregnancies, require special monitoring and treatment. The aim of this study was to assess the stillbirth and early and late neonatal mortality rates for pregnancies complicated by fetal dysrhythmias from one single tertiary referral center from 2000 to 2022. Of the 1018 fetuses with congenital heart disease, 157 (15.42%) were evaluated in this analysis. Seventy-four (46.7%) fetuses had bradyarrhythmias, 51 (32.5%) tachyarrhythmias, and 32 (20.4%) had rhythm irregularities. Additional structural heart defects were detected in 40 (25.3%) fetuses and extracardiac anomalies in 29 (18.4%) fetuses. Thirteen (8.2%) families opted for termination of the pregnancy. Eleven (7.6%), out of 144 continued pregnancies ended in spontaneous intrauterine fetal death (IUFD). Neonatal death was observed in nine cases (5.7%), whereas three (1.9%) died within the first 7 days of life. Although most intrauterine fetal deaths occurred in pregnancies with fetal bradyarrhythmia, neonatal death was observed more often in fetuses with tachyarrhythmia (8.5%). The presence of extracardiac anomalies, congenital heart disease (CHD), and Ro-antibodies are predictive factors for the occurrence of IUFD. Rhythm irregularities without any other risk factor do not present higher risks of adverse perinatal outcome. |
format | Online Article Text |
id | pubmed-9914765 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99147652023-02-11 Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies Springer, Stephanie Karner, Eva Seidl-Mlczoch, Elisabeth Yerlikaya-Schatten, Guelen Pateisky, Petra Ulm, Barbara Diagnostics (Basel) Article Fetal dysrhythmias are common abnormalities, which can be categorized into three types: rhythm irregularities, tachyarrhythmias, and bradyarrhythmias. Fetal arrhythmias, especially in high-risk pregnancies, require special monitoring and treatment. The aim of this study was to assess the stillbirth and early and late neonatal mortality rates for pregnancies complicated by fetal dysrhythmias from one single tertiary referral center from 2000 to 2022. Of the 1018 fetuses with congenital heart disease, 157 (15.42%) were evaluated in this analysis. Seventy-four (46.7%) fetuses had bradyarrhythmias, 51 (32.5%) tachyarrhythmias, and 32 (20.4%) had rhythm irregularities. Additional structural heart defects were detected in 40 (25.3%) fetuses and extracardiac anomalies in 29 (18.4%) fetuses. Thirteen (8.2%) families opted for termination of the pregnancy. Eleven (7.6%), out of 144 continued pregnancies ended in spontaneous intrauterine fetal death (IUFD). Neonatal death was observed in nine cases (5.7%), whereas three (1.9%) died within the first 7 days of life. Although most intrauterine fetal deaths occurred in pregnancies with fetal bradyarrhythmia, neonatal death was observed more often in fetuses with tachyarrhythmia (8.5%). The presence of extracardiac anomalies, congenital heart disease (CHD), and Ro-antibodies are predictive factors for the occurrence of IUFD. Rhythm irregularities without any other risk factor do not present higher risks of adverse perinatal outcome. MDPI 2023-01-29 /pmc/articles/PMC9914765/ /pubmed/36766595 http://dx.doi.org/10.3390/diagnostics13030489 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Springer, Stephanie Karner, Eva Seidl-Mlczoch, Elisabeth Yerlikaya-Schatten, Guelen Pateisky, Petra Ulm, Barbara Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title | Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title_full | Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title_fullStr | Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title_full_unstemmed | Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title_short | Outcome of Fetal Dysrhythmias with and without Extracardiac Anomalies |
title_sort | outcome of fetal dysrhythmias with and without extracardiac anomalies |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914765/ https://www.ncbi.nlm.nih.gov/pubmed/36766595 http://dx.doi.org/10.3390/diagnostics13030489 |
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