介入および一般心臓学ジャーナル

Prenatal Diagnosis and Management of Foetal Arrhythmias

Abstract

Isviko Territo*

Arrhythmias in the fetus are a common occurrence with rather intricate causes. The diagnosis and treatment of fetal arrhythmias during pregnancy are still the subject of debate. The retrieved, compiled, and analyzed literature from the past two decades on prenatal diagnosis and treatment of fetal arrhythmias. The types or etiologies of fetal arrhythmias as well as fetal conditions determine the outcomes of intrauterine therapy for fetal tachyarrhythmia’s. The majority can be treated with the first-line antiarrhythmic through a trans placental procedure. In cases of drug resistance or thermodynamic impairment, fetal cardiac pacing’s can successfully restore sinus rhythm. In refractory cases, implantation of an immediate postnatal pacemaker is required.