Perinatal arrhythmias.

Details

Serval ID
serval:BIB_2D41B18FC9A1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perinatal arrhythmias.
Journal
European Journal of Pediatrics
Author(s)
Sekarski N., Meijboom E.J., Di Bernardo S., Ksontini T.B., Mivelaz Y.
ISSN
1432-1076 (Electronic)
ISSN-L
0340-6199
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
173
Number
8
Pages
983-996
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish. pdf type: review
Abstract
Cardiac arrhythmias are very frequent in fetuses and newborns. The prognosis depends on the nature of the arrhythmias but is most often either spontaneously benign or following short-term medication administration. A correct diagnosis is essential for both management and prognosis. It is based on echocardiography during the fetal period and mainly on history, physical exam, and electrocardiogram after birth, but other modalities are available to record transient arrhythmic events. Irregular rhythms are mostly benign and rarely require therapy. In most fetuses and infants, tachyarrhythmias resolve spontaneously or require short-term administration of antiarrhythmics. Approximately one third of these may recur later on, especially during adolescence. Persistent bradyarrhythmias might require pacemaker implantation when associated with failure to thrive or with risk of sudden death.
CONCLUSION: Arrhythmias in fetuses and infants are very common and mostly benign. History, physical exam, and recording of the arrhythmia are essential to make a correct diagnosis and establish an appropriate management for the rare potentially harmful arrhythmias.
Pubmed
Web of science
Create date
03/08/2014 13:57
Last modification date
04/10/2019 10:16
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