Familial atrial fibrillation with fetal onset
| Autor: | P Kirkinen, L Eresmaa, K Nikolajev, T Tikanoja, P Haring |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Digoxin
medicine.medical_specialty medicine.medical_treatment Cardioversion Electrocardiography Case Studies Pregnancy Prenatal Diagnosis Internal medicine Hydrops fetalis Atrial Fibrillation medicine Humans Sinus rhythm cardiovascular diseases Flecainide business.industry Infant Newborn Atrial fibrillation medicine.disease Echocardiography Doppler Surgery Fetal Diseases Child Preschool cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Cardioversions Anti-Arrhythmia Agents Familial atrial fibrillation medicine.drug |
| Zdroj: | Heart. 79:195-197 |
| ISSN: | 1355-6037 |
| DOI: | 10.1136/hrt.79.2.195 |
| Popis: | A woman presented during two pregnancies (at 25 and 23 weeks' gestation, respectively) because the fetuses had rapid, irregular tachycardia and hydrops. After maternal drug treatment and achievement of slower fetal heart rates, the hydrops gradually resolved. Both babies were born full term with continuing atrial fibrillation. In the first, an ectopic atrial rhythm was temporarily achieved during high dose flecainide treatment but, in the younger sibling, all medications and repeated cardioversions failed even temporarily to convert the atrial fibrillation with an almost isoelectric baseline in ECG to sinus rhythm. Good rate control has been achieved with digoxin in both patients. No infective, immunological, or structural cause was found in either case, and thus an inherited aetiology is probable. Keywords: atrial fibrillation; arrhythmias; fetal atrial fibrillation; familial arrhythmias |
| Databáze: | OpenAIRE |
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