Article
Resolution of hydrops fetalis caused by atrioventricular block: good postnatal evolution with terbutaline treatment
Author/s | Sáinz Bueno, José Antonio
García Mejido, José Antonio Grueso, J. Santos, J. Garrido, R. |
Department | Universidad de Sevilla. Departamento de Cirugía |
Publication Date | 2017-02-10 |
Deposit Date | 2024-07-24 |
Published in |
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Abstract | Introduction: Complete atrioventricular block (CAVB) is rarely seen, as it occurs in only 1:11 000 to 1:20 000 newborns. There is a
serious risk of mortality in CAVB, mainly in those cases associated with hydrops, fetal ... Introduction: Complete atrioventricular block (CAVB) is rarely seen, as it occurs in only 1:11 000 to 1:20 000 newborns. There is a serious risk of mortality in CAVB, mainly in those cases associated with hydrops, fetal cardiac frequency ≤ 55 beats/minute, and pre mature delivery. Case Report: Case of complete atrioventricular block with a poor prognosis (hydrops fetalis and foetal cardiac frequency < 5 beats/minute) caused by anti-La and anti-Ro antibodies. Intrauterine symptoms improved after treatment with terbutaline, permit ting foetal viability and successful postnatal treatment with a cardiac pacemaker. Discussion: In case of complete atrioventricular block of cause autoimmune with poor prognosis should be treated with positive inotropic drugs, anticholinergics or b-mimetic in the attempt to maintain adequate ventricular frequency, and thus prevent hydrops fetalis from occurring. |
Citation | Sáinz Bueno, J.A., García Mejido, J.A., Grueso, J., Santos, J. y Garrido, R. (2017). Resolution of hydrops fetalis caused by atrioventricular block: good postnatal evolution with terbutaline treatment. Clinical and Experimental Obstetrics & Gynecology, 44 (1), 154-156. https://doi.org/10.12891/ceog3334.2017. |
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