{"title":"[胎儿完全性房室传导阻滞患者的临床特征]。","authors":"Fernando A Muralles-Castillo","doi":"10.24875/ACM.24000049","DOIUrl":null,"url":null,"abstract":"<p><p>The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc., is mentioned; however, their use is controversial, since there are still many studies in which it is not defined whether they are used in isolation or together to improve the patient's condition. Steroids are the medications most used in this pathology and also the most studied, although their use has decreased the development of hydrops and preventing a type II atrioventricular block from progressing to a complete one, it can also cause greater loss of amniotic fluid, causing oligohydramnios that could cause fetal damage. Due to this, the assessment of the use of different medications will depend on the patient's clinical condition and multidisciplinary management should be addressed in the perinatal period to improve the prognosis of the patient and the mother.</p>","PeriodicalId":93885,"journal":{"name":"Archivos de cardiologia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Clinical characterization of patients with complete fetal atrioventricular block].\",\"authors\":\"Fernando A Muralles-Castillo\",\"doi\":\"10.24875/ACM.24000049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc., is mentioned; however, their use is controversial, since there are still many studies in which it is not defined whether they are used in isolation or together to improve the patient's condition. Steroids are the medications most used in this pathology and also the most studied, although their use has decreased the development of hydrops and preventing a type II atrioventricular block from progressing to a complete one, it can also cause greater loss of amniotic fluid, causing oligohydramnios that could cause fetal damage. Due to this, the assessment of the use of different medications will depend on the patient's clinical condition and multidisciplinary management should be addressed in the perinatal period to improve the prognosis of the patient and the mother.</p>\",\"PeriodicalId\":93885,\"journal\":{\"name\":\"Archivos de cardiologia de Mexico\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archivos de cardiologia de Mexico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24875/ACM.24000049\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archivos de cardiologia de Mexico","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24875/ACM.24000049","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
以下文章旨在描述先天性完全性房室传导阻滞患者的临床特征。文章从不同渠道收集信息,其中包括病理表现及其对胎儿的影响,主要依据是寻找药物使用与预后之间的关联。在对胎儿房室传导阻滞患者的治疗中,提到了类固醇、β-肾上腺素能兴奋剂、血浆等药物的使用;然而,这些药物的使用还存在争议,因为仍有许多研究没有明确这些药物是单独使用还是一起使用以改善患者的病情。类固醇是在这种病理情况下使用最多的药物,也是研究最多的药物。虽然类固醇的使用减少了肾积水的发生,防止了 II 型房室传导阻滞发展为完全性房室传导阻滞,但它也会导致羊水的大量流失,造成少水羊膜症,从而对胎儿造成损害。因此,对不同药物使用的评估将取决于患者的临床情况,在围产期应进行多学科管理,以改善患者和母亲的预后。
[Clinical characterization of patients with complete fetal atrioventricular block].
The following article seeks to describe the clinical characterization of patients with congenital complete atrioventricular block. Information was collected from different sources, among which is the presentation of the pathology and its impact on the fetus, and the main basis was look for an association between the use of medications and its prognosis. Within the treatment to be used in patients with fetal atrioventricular block, the use of steroids, beta-adrenergic stimulators, plasma, etc., is mentioned; however, their use is controversial, since there are still many studies in which it is not defined whether they are used in isolation or together to improve the patient's condition. Steroids are the medications most used in this pathology and also the most studied, although their use has decreased the development of hydrops and preventing a type II atrioventricular block from progressing to a complete one, it can also cause greater loss of amniotic fluid, causing oligohydramnios that could cause fetal damage. Due to this, the assessment of the use of different medications will depend on the patient's clinical condition and multidisciplinary management should be addressed in the perinatal period to improve the prognosis of the patient and the mother.