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Surveillance of fetal arrhythmias in the outpatient setting: current limitations and call for action

Published online by Cambridge University Press:  16 December 2015

Grace Freire
Grace Freire*
Affiliation:
Division of Cardiology, John Hopkins All Children’s Heart Institute, All Children’s Hospital, St Petersburg, Florida, United States of America
*
Correspondence to: G. Freire, MD, FACC, FASE, Department of Pediatrics, Division of Cardiology, Johns Hopkins All Children’s Heart Institute, 2nd Floor Outpatient Care Center # 206, 601, 5th Street South, St Petersburg, FL 33701, United States of America. Tel: +727 767 6483; Fax: +727 767 8990; E-mail: [email protected]
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Abstract

Surveillance of fetal arrhythmias in the outpatient setting remains limited by lack of monitoring modalities. Despite technological advances made in the field of obstetrics, existing devices are not currently suitable to monitor fetal arrhythmias. In this report, the author describes the current and developing fetal heart rate monitoring technologies including the recent introduction of hand-held Doppler monitors for outpatient surveillance of fetal arrhythmias.

Keywords

Fetal arrhythmiaoutpatient monitoringcardiotocographyfetal electrocardiogramhand-held doppler monitors
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1590 - 1592
Copyright
© Cambridge University Press 2015 

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References

1.Simpson, JM, Milburn, A, Yates, RW, Maxwell, DJ, Sharland, GK. Outcome of intermittent tachyarrhythmias in the fetus. Pediatr Cardiol 1997; 18: 78–82.CrossRefGoogle ScholarPubMed
2.Naheed, Z, Strasburger, J, Deal, B, Benson, W, Gidding, S. Fetal tachycardia: mechanisms and predictors of hydrops fetalis. J Am Coll Cardiol 1996; 27: 1736–1740.CrossRefGoogle ScholarPubMed
3.Donofrio, M, Moon-Grady, A, Hornberger, L, et al. Diagnosis and treatment of fetal cardiac disease. A scientific statement from the American Heart Association. Circulation 2014; 129: e512.CrossRefGoogle ScholarPubMed
4.Cuneo, B, Strasburger, J. Management strategy for fetal tachycardia. Obstet Gynecol 2000; 96: 575–581.Google ScholarPubMed
5.Cuneo, BF, Strasburger, JF, Wakai, RT, Ovadia, M. Conduction system disease in fetuses evaluated for irregular cardiac rhythm. Fetal Diagn Ther 2006; 21: 307–313.CrossRefGoogle ScholarPubMed
6.Wacker-Gussmann, A, Strasburger, J, Cuneo, B, Wakai, R. Diagnosis and treatment of fetal arrhythmia. Am J Perinatol 2014; 31: 617–628.CrossRefGoogle ScholarPubMed
7.Boatin, A, Wylie, B, Goldfarb, I, et al. Wireless fetal heart rate monitoring in inpatient full term pregnant women: testing functionality and acceptability. PLOS One 2015; 10: e0117043.CrossRefGoogle ScholarPubMed
8.Strasburger, JF, Wakai, RT. Fetal cardiac arrhythmia detection and in utero therapy. Nat Rev Cardiol 2010; 7: 277–290.CrossRefGoogle ScholarPubMed
9.Nageotte, M. Fetal heart rate monitoring. Semin Fetal Neonatal Med 2015; 20: 144–148.CrossRefGoogle ScholarPubMed
10.Arya, B, Rathinaswamy, G, Krishnan, A, Duplessis, A, Donofrio, M. Feasibility of noninvasive fetal electrocardiographic monitoring in the clinical setting. Pediatr Cardiol 2015; 36: 1042–1049.CrossRefGoogle Scholar
11.Rauf, Z, O’Brien, E, Stampalija, T, Ilioniu, F, Lavender, T, Alfirevic, Z. Home labour induction with retrievable prostaglandin pessary and continuous telemetric trans-abdominal fetal ECG monitoring. PLoS One 2011; 6: e28129.CrossRefGoogle ScholarPubMed
12.Signorini, M, Fanelli, A, Magenes, G. Monitoring fetal heart rate during pregnancy: contributions from advanced signal processing and wearable technology. Comput Math Methods Med 2014; 2014: 707581.CrossRefGoogle ScholarPubMed