胎儿心电图监测在评估胎儿室上性心动过速治疗指征中的潜力。

IF 1.6 3区 医学 Q3 OBSTETRICS & GYNECOLOGY
Takeshi Ikegawa, Yuki Okada, Yuki Kamihara, Michi Kasai, Hiromi Nagase, Hiroshi Ishikawa, Hideaki Ueda, Yoshitaka Kimura, Motoyoshi Kawataki
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引用次数: 0

摘要

准确评估胎儿室上性心动过速(SVT)频率是决定治疗策略的关键。在这项研究中,我们评估了长时间无创胎儿心电图(fECG)监测在评估SVT和指导治疗方面的潜力。病例介绍:一个37岁的妇女在妊娠28周被转介到我们医院胎儿心动过速。患者被诊断为胎儿心律失常,包括偶有房性早搏和室性心动过速。体外换能器的多普勒心脏成像(CTG)胎儿心率监测不足以进行准确的频率评估;此外,由于SVT频率的明显日变化,简短的胎儿超声心动图是不够的。在妊娠29周和31周延长的fECG监测显示,SVT没有持续12小时或更长时间,也没有持续超过监测时间的50%,这表明胎儿水肿的风险很低。怀孕正常进行,婴儿在38周时健康出生。结论:本报告提示,与传统CTG或胎儿超声心动图相比,延长fcg监测是一种更可靠、侵入性更小的评估胎儿SVT频率的方法。此外,它提供了一种非侵入性和准确的方法来评估胎儿治疗的需要,特别是在心律失常的情况下,频率评估是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Potential of Fetal Electrocardiography Monitoring in Evaluating Treatment Indications for Fetal Supraventricular Tachycardia.

Introduction: Accurate assessment of fetal supraventricular tachycardia (SVT) frequency is critical for deciding treatment strategies. In this study, we evaluated the potential of prolonged non-invasive fetal electrocardiography (fECG) monitoring for assessing SVT and guiding therapy.

Case presentation: A 37-year-old woman at 28 weeks of gestation was referred to our hospital for fetal tachycardia. The patient was diagnosed with fetal arrhythmia, including occasional premature atrial contractions and SVT. Fetal heart rate monitoring using Doppler-based cardiotocography (CTG) with external transducers was insufficient for accurate frequency evaluation; moreover, brief fetal echocardiography was inadequate due to marked diurnal variation in SVT frequency. Prolonged fECG monitoring at 29 and 31 weeks of gestation revealed that SVT did not persist for 12 or more hours or for more than 50% of the monitoring period, indicating a low risk for fetal hydrops. The pregnancy proceeded normally, and the infant was born healthy at 38 weeks.

Conclusion: This report suggests that prolonged fECG monitoring is a more reliable and less invasive method for assessing fetal SVT frequency compared with traditional CTG or fetal echocardiography. Furthermore, it provides a non-invasive and accurate approach for evaluating the need for fetal therapy, especially in arrhythmia cases where frequency assessment is essential.

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来源期刊
Fetal Diagnosis and Therapy
Fetal Diagnosis and Therapy 医学-妇产科学
CiteScore
4.70
自引率
9.10%
发文量
48
审稿时长
6-12 weeks
期刊介绍: The first journal to focus on the fetus as a patient, ''Fetal Diagnosis and Therapy'' provides a wide range of biomedical specialists with a single source of reports encompassing the common discipline of fetal medicine.
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