Perinatal arrhythmias - Diagnosis and treatment [Arritmias no período perinatal - Diagnóstico e tratamento]

• Tipo: Artigo em Revista Científica Internacional
• Data: 2002

Autores

Moura, C (Autor) Outra; Vieira, A (Autor) Outra; Guimarães H (Autor) FMUP; Areias JC (Autor) FMUP

Revista

Título: Revista Portuguesa de Cardiologia

Vol. 21 Nº 9

Páginas: 45-55

ISSN: 0870-2551

Editora: Sociedade Portuguesa De Cardiologia

Indexação

Scopus - 12 Citações

Outras Informações

ID Authenticus: P-007-A3E

Abstract (EN): We did a retrospective analysis of the clinical files of 26 neonates with arrhythmia born during the period between January 1994 and February 1999. Fourteen (153.8%) of the neonates were male and 16 (61.5%) had prenatal diagnosis. Four (15.3%) had associated congenital heart disease. Twenty-one (80.7%) had abnormal rhythm and five (19.2%) had cardiac conduction disorder. Digoxin was the therapy of first choice to restore normal rhythm, used in 66.6 % of the patients, followed by adenosine (16.6 %) and electrical cardioversion (16.6%). An epicardial pacemaker was used in two of the three neonates with complete atrioventricular (AV) block. One neonate died due to cerebral hemorrhage. All the neonates were discharged in a clinically stable condition and 16 (88.8%) of them were medicated with digoxin. In a follow-up period that varied from 0 to 71 months (mean of 30.8 months), two patients had an episode of supraventricular tachycardia (SVT) after treatment. withdrawal. Perinatal arrhythmias, although uncommon, can be life-threatening, and hence we consider our experience with these situations worth presenting.

Idioma: Inglês

Tipo (Avaliação Docente): Científica