Fetal Diagnosis and treatment of arrhythmia.docVIP

 PAGE \* MERGEFORMAT 15 Fetal Diagnosis and treatment of arrhythmia As the fetal cardiovascular system by increasing emphasis on clinical care and medical inspection equipment improved in recent years, on reports of fetal and neonatal arrhythmia gradually increased. Occurred during fetal arrhythmias can lead to intrauterine death and neonatal mortality increased, especially associated with non-immune fetal edema [1]. , The diagnosis of fetal arrhythmias rely mainly on M-mode echocardiography (M-UCG) and pulsed Doppler spectrum diagnosis, type of arrhythmia that occurred mainly supraventricular tachycardia (SVT) and atrial flutter moving (atrial flutter). Vision but to no drugs and routes of administration [1, 2]. Are present on the diagnosis and treatment of fetal arrhythmias are described below. 1, pathogenesis Fetal arrhythmias are relatively rare compared with adults, but can cause fetal non-immune edema, and even lead to death. Which atrial tachycardia often to drug therapy, and even electrical switch complex responses are poor, their sustainability and the enlargement of the heart attack can result in failure [3]. While some academics have already reported that drug treatment may terminate the onset of fetal arrhythmias, but its rate of premature delivery and neonatal morbidity, mortality remains high [4, 5]. Choose effective methods of treatment required in accordance with their electrophysiological arrhythmia mechanisms, and different ages of its mechanism of supraventricular tachycardia onset of significant variability, especially in the fetus, its mechanism is more complex. Naheed et al [6] on 30 cases in the fetal period has been diagnosed as supraventricular tachycardia (SVT) in newborns surface ECG and esophageal electrophysiological examination, which found 22 cases of fetus showed 1:1 atrioventricular conduction, 8 cases with atrioventricular block; 27 cases of transesophageal pacing stimulation may be induced by a supr