Long-term neurodevelopmental outcome after fetal arrhythmia.

Abstract:

OBJECTIVE:The purpose of this study was to determine the long-term neurodevelopmental outcome in fetuses with severe tachy- or bradyarrhythmia. STUDY DESIGN:This was a follow-up study to assess the neurologic, mental, and psychomotor development in cases with fetal cardiac arrhythmia. RESULTS:A total of 44 fetuses were diagnosed with fetal tachy- or bradyarrhythmia: 28 fetuses had supraventricular tachycardia (SVT); 7 fetuses had atrial flutter (AF), and 9 fetuses had atrioventricular block (AVB). The mortality rate was low (6%; 2/35 fetuses) in the SVT and AF groups and high in the AVB group (78%; 7/9 fetuses). Six patients were lost to follow-up evaluation (14%). Neurodevelopmental outcome was normal in all survivors in the SVT and AF groups, except for 1 patient who experienced plexus brachialis injury because of shoulder dystocia. Two of the 3 survivors in the AVB group had severe developmental delay. CONCLUSION:The mortality rate and neurodevelopmental impairment in infants with SVT and AF are low, but the mortality rate in infants with AVB is elevated.

journal_name

Am J Obstet Gynecol

authors

Lopriore E,Aziz MI,Nagel HT,Blom NA,Rozendaal L,Kanhai HH,Vandenbussche FP

doi

10.1016/j.ajog.2009.02.002

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

46.e1-5

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(09)00187-2

journal_volume

201

pub_type

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