Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth
Transient episodes of fetal bradycardia (heart rate less than 110 bpm) are usually benign and typically result from increased vagal stimulation in the fetus. Causes of sustained fetal bradycardia include sinus bradycardia, blocked atrial bigeminy/trigeminy, high-degree atrioventricular block, and lo...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2012/406497 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558357374828544 |
|---|---|
| author | V. Martucci A. Cerekja A. Caiaro G. Bosco R. Lucchini G. Piacentini B. Marino Flavia Ventriglia |
| author_facet | V. Martucci A. Cerekja A. Caiaro G. Bosco R. Lucchini G. Piacentini B. Marino Flavia Ventriglia |
| author_sort | V. Martucci |
| collection | DOAJ |
| description | Transient episodes of fetal bradycardia (heart rate less than 110 bpm) are usually benign and typically result from increased vagal stimulation in the fetus. Causes of sustained fetal bradycardia include sinus bradycardia, blocked atrial bigeminy/trigeminy, high-degree atrioventricular block, and long QT syndrome. We present the case of a 34-year-old Caucasian patient referred to our department for “blocked atrial bigeminy with pseudobradycardia” detected elsewhere at 33 weeks of gestation. A fetal echocardiography showed during all the examination a blocked atrial trigeminy with a mean fetal heart rate of 100 bpm. After birth three subsequent ECGs until day 3 showed no evidence of atrial extrasystoles, confirming the well-known frequent regression of this kind of fetal benign arrhythmia, but on day 11 recurrence of supraventricular trigeminy and development of episodes of paroxystic supraventricular tachycardia were observed. On the basis of this observation, we recommend that fetuses with complex atrial ectopic beats should be closely monitored before and after birth for evidence of new arrhythmias. |
| format | Article |
| id | doaj-art-000c14e1bec244fa9a6f65fb2e341195 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-000c14e1bec244fa9a6f65fb2e3411952025-02-03T01:32:28ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/406497406497Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after BirthV. Martucci0A. Cerekja1A. Caiaro2G. Bosco3R. Lucchini4G. Piacentini5B. Marino6Flavia Ventriglia7Pediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyUltrasound Division, ASL Roma B, 00169 Rome, ItalyPediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyPediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyNeonatal Pathology and NICU, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, ItalyPediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyPediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyPediatric Cardiology, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, ItalyTransient episodes of fetal bradycardia (heart rate less than 110 bpm) are usually benign and typically result from increased vagal stimulation in the fetus. Causes of sustained fetal bradycardia include sinus bradycardia, blocked atrial bigeminy/trigeminy, high-degree atrioventricular block, and long QT syndrome. We present the case of a 34-year-old Caucasian patient referred to our department for “blocked atrial bigeminy with pseudobradycardia” detected elsewhere at 33 weeks of gestation. A fetal echocardiography showed during all the examination a blocked atrial trigeminy with a mean fetal heart rate of 100 bpm. After birth three subsequent ECGs until day 3 showed no evidence of atrial extrasystoles, confirming the well-known frequent regression of this kind of fetal benign arrhythmia, but on day 11 recurrence of supraventricular trigeminy and development of episodes of paroxystic supraventricular tachycardia were observed. On the basis of this observation, we recommend that fetuses with complex atrial ectopic beats should be closely monitored before and after birth for evidence of new arrhythmias.http://dx.doi.org/10.1155/2012/406497 |
| spellingShingle | V. Martucci A. Cerekja A. Caiaro G. Bosco R. Lucchini G. Piacentini B. Marino Flavia Ventriglia Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth Case Reports in Obstetrics and Gynecology |
| title | Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth |
| title_full | Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth |
| title_fullStr | Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth |
| title_full_unstemmed | Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth |
| title_short | Blocked Atrial Bi/Trigeminy In Utero Evolving in Supraventricular Tachycardia after Birth |
| title_sort | blocked atrial bi trigeminy in utero evolving in supraventricular tachycardia after birth |
| url | http://dx.doi.org/10.1155/2012/406497 |
| work_keys_str_mv | AT vmartucci blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT acerekja blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT acaiaro blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT gbosco blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT rlucchini blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT gpiacentini blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT bmarino blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth AT flaviaventriglia blockedatrialbitrigeminyinuteroevolvinginsupraventriculartachycardiaafterbirth |