Prenatal Diagnosis of Ventricular Tachycardia Initiated from Bradycardia

Rina Kim; Mi-Young Lee; Lee Room Song; Seung A Choi; Jin Hoon Chung; Hye-Sung Won; Pil-Ryang Lee; Ellen Ai-Rhan Kim; 백재석

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자료유형: 학술저널

저자정보: Rina Kim (University of Ulsan College of Medicine) Mi-Young Lee (University of Ulsan) Lee Room Song (University of Ulsan College of Medicine) Seung A Choi (University of Ulsan College of Medicine) Jin Hoon Chung (University of Ulsan College of Medicine) Hye-Sung Won (University of Ulsan College of Medicine) Pil-Ryang Lee (University of Ulsan College of Medicine) Ellen Ai-Rhan Kim (University of Ulsan College of Medicine) 백재석 (서울아산병원 Pediatric Cardiac Surgery)

저널정보: 대한주산의학회 Perinatology Perinatology Vol.32 No.2

발행연도: 2021.1

수록면: 95 - 99 (5page)

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Fetal ventricular tachycardia (VT) is an extremely rare condition. Because sustained VT is highly associated with perinatal morbidity and mortality, prenatal management with antiarrhythmic drugs is crucial. A 33-year-old woman was referred to our hospital for fetal bradycardia at 25.2 weeks of gestation. Initial echocardiography showed bradycardia with irregular atrial beats, which was suspected as blocked atrial bigeminy. Four weeks later, the fetal tachycardia was accompanied by no atrioventricular conduction. Therefore, VT was diagnosed. The fetus developed hydrops. Despite the use of antiarrhythmic drug, the neonate died a few hours after birth because of persistent VT. Only few cases of fetal VT have been reported worldwide, and no case has been reported in Korea. Here, we report a case of fetal VT and discuss the prenatal management using antiarrhythmic drugs, reviewing previous reports.

#Arrhythmias #Congenital heart block #Prenatal diagnosis #Ventricular tachycardia

참고문헌 (20)

참고문헌 신청

Simpson JM / 2009 / Fetal ventricular tachycardia secondary to long QT syndrome treated with maternal intravenous magnesium : case report and review of the literature / Ultrasound Obstet Gynecol 34:475~480

Donofrio MT / 2014 / Diagnosis and treatment of fetal cardiac disease : a scientific statement from the American Heart Association / Circulation 129:2183~2242

Hofbeck M / 1997 / Prenatal findings in patients with prolonged QT interval in the neonatal period / Heart 77:198~204

Chang IK / 2002 / Prenatal diagnosis and treatment of fetal long QT syndrome : a case report / Prenat Diagn 22:1209~1212

Cuneo BF / 2003 / Prenatal diagnosis and in utero treatment of torsades de pointes associated with congenital long QT syndrome / Am J Cardiol 91:1395~1398

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김리나

소속기관 Department of Obstetrics and Gynecology Jeju National University Hospital

주요연구분야 의약학 > 임상의학 > 산부인과학

논문수 3 이용수 6

이미영

소속기관 울산대학교

주요연구분야 의약학 > 임상의학 > 산부인과학 의약학 > 임상의학 > 내과학

논문수 5 이용수 42

Lee Room Song