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Fetal and Neonatal Arrhythmia in One of the Twins - a Case History

Published online by Cambridge University Press:  01 August 2014

M. B. Czeszyńska ,
J. Węgrzynowski ,
Z. Czajkowski  and
G. Dawid
M. B. Czeszyńska*
Affiliation:
Clinical Department of Neonatology
J. Węgrzynowski
Affiliation:
Clinic for Pathology of Pregnancy and Labor
Z. Czajkowski
Affiliation:
Clinic for Pathology of Pregnancy and Labor
G. Dawid
Affiliation:
Cinical Department of Child Disease
*
Department of Neonatology, u1. Unii Lubelskiej 1, 71-252 Szczecin

Abstract

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There are a lot of publications about fetal arrhythmia in singletons, but up to now there are no published data about fetal arrhythmia in multiple pregnancies. In the present study a case history of fetal and neonatal arrhythmia in one of twins from two mothers treated with betamimetic agents due to imminent preterm labor is reported and discussed. A first case with fetal bradycardia due to complete A-V block had congenital cordis abnormalities (VSD and PFO). The second case with prenatal detected extrasystoles had normal heart anatomy. Digoxin was administered to the mother, in the aim to treat fetal arrhythmia without success, because the baby had postnatal bradycardia. After hospitalisation in Cardiology Department the described cases were successfully treated. In both cases the second twins were without neonatal arrhythmia and with no structural heart abnormalities. We summarise that in situation of detection fetal arrhythmia the complexity of the problems experienced may warrant early referral to a tertiary centre where the overall management of the mother, fetus and neonate, may be undertaken.

Keywords

Twin pregnancyFetal arrhythmiaNewborn babies
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 47 , Issue 3-4 , October 1998 , pp. 197 - 200
Copyright
Copyright © The International Society for Twin Studies 1998

References

REFERENCES

1. Chan, FY, Woo, SK, Ghosh, A, Tang, M, Lam, C (1990): Prenatal diagnosis of congenital fetal arrhythmias by simultaneous pulsed Doppler velocimetry of the fetal abdominal aorta and inferior vena cava. Obstet Gynecol 76: 200–205.Google Scholar
2. Chorro, FJ, Santonja, J, Merino, J, Losada, A, Sanchis, J, Lopez-Merino, V (1992): Fetal cardiac arrhythmia characterized by Doppler echocardiography. Rev Esp Cardiol 45: 215–218.Google ScholarPubMed
3. Engelhardt, W, Lehnen, H, Grabitz, R, von Bernuth, G (1990): Diagnosis and therapy of fetal brady-arrhythmia. Z Geburtshilfe Perinatal 194, 153–157.Google Scholar
4. Maragnes, P, Fournier, A, Lessard, M, Fouron, JC (1991): Evaluation and prognosis of fetal arrhythmia. Pediatrie Bucur 46: 481–488.Google Scholar
5. Rajadurai, FS, Menahem, S (1992): Fetal arrhythmia: a 3-years experience. Aust N Z J Obstet Gynaecol 32: 28–31.CrossRefGoogle Scholar
6. Respondek, M, Huhta, JC, Wood, D, Respondek, M (1990): Echocardiographic evaluation of fetal arrhythmias. Kardiol Pol 33: 136–149.Google ScholarPubMed
7. Respondek, M, Wilczyński, J (1994): Clinical follow-up in a case of fetal arrhythmia – review of the literature. Ginekol Pol 65: 714–718.Google Scholar
8. Veille, J-C (1992): Obstetric management of prematurity. In: Neonatal-Perinatal Medicine, Fanaroff, A, Martin, R (ed), Mosby Year Book 205–220.Google Scholar