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2018 | OriginalPaper | Buchkapitel

22. Dopplerechokardiographie bei fetalen Arrhythmien

verfasst von : U. Gembruch

Erschienen in: Dopplersonographie in Geburtshilfe und Gynäkologie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Neben der M-Mode-Echokardiographie sind Dopplerechokardiographie und farbkodierte M-Mode-Dopplerechokardiographie aufgrund ihrer hohen zeitlichen Auflösung die wichtigsten Techniken zur Diagnostik und Differenzialdiagnostik fetaler Arrhythmien. In diesem Kapitel werden die fetalen Arrhythmien differenziert dargestellt. Die Besonderheiten dopplerechokardiographischer Befunde werden im Zusammenhang mit der Diagnostik von Extrasystolie, Bradyarrhythmien (Sinusbradykardie, AV-Blockierung) und Tachyarrhythmien (Sinustachykardie, ventrikuläre Tachykardie, Vorhofflattern, supraventrikuläre Tachykardie als „Conduction-System-Tachycardia“) erläutert.

Allan LD, Anderson RH, Sullivan I, Campbell S, Holt D, Tynan M (1983) Evaluation of fetal arrhythmias by echocardiography. Br Heart J 50: 240‒245PubMedPubMedCentralCrossRef

Allan LD (1986) Manual of fetal echocardiography. MTP Press, London

Anandakumar C, Biswas A, Chew SSL, Chia D, Wong YC, Ratnam SS (1996) Direct fetal therapy for hydrops secondary to congenital atrioventricular heart block. Obstet Gynecol 87: 835‒837PubMed

Bar-Cohen Y, Loeb GE, Pruetz JD, Silka MJ, Guerra C, Vest AN, Zhou L, Chmait RH (2015) Preclinical testing and optimization of a novel fetal micropacemaker. Heart Rhythm 12: 1683‒1690PubMedPubMedCentralCrossRef

Baschat AA, Gembruch U, Knöpfle G, Hansmann M (1999) First-trimester fetal heart block: a marker for cardiac anomaly. Ultrasound Obstet Gynecol 14: 311‒314PubMedCrossRef

Beall MH, Paul RH (1986) Artifacts, blocks, and arrhythmias; confusing nonclassical heart rate tracings. Clin Obstet Gynecol 29: 83‒94PubMedCrossRef

Beinder E, Grancay T, Menendez T, Singer H, Hofbeck M (2001) Fetal sinus bradycardia and the long QT syndrome. Am J Obstet Gynecol 185: 743‒747PubMedCrossRef

Berg C, Geipel A, Smrcek J, Krapp M, Germer U, Kohl T, Gembruch U, Baschat AA (2003) Prenatal diagnosis of cardiosplenic syndromes: a 10-year experience. Ultrasound Obstet Gynecol 22: 451‒459PubMedCrossRef

Berg C, Geipel A, Kohl T, Breuer J, Germer U, Krapp M, Baschat AA, Hansmann M, Gembruch U (2005a) Atrioventricular block detected in fetal life: associated anomalies and potential prognostic markers. Ultrasound Obstet Gynecol 26: 4‒15PubMedCrossRef

Berg C, Geipel A, Kamil D, Knüppel M, Breuer J, Krapp M, Baschat A, Germer U, Hansmann M, Gembruch U (2005b) The syndrome of left isomerism: sonographic findings and outcomes in prenatally diagnosed cases. J Ultrasound Med 24: 921‒931PubMedCrossRef

Berg C, Gottschalk I, Geipel A, Gembruch U (2013a) Diagnosis and therapy of fetal arrhythmias 1 - Methods of rhythm diagnosis, extrasystole and bradyarrhythias. Ultraschall Med 34: 114‒127PubMedCrossRef

Berg C, Gottschalk I, Gembruch U, Geipel A (2013b) Diagnosis and therapy of fetal arrhythmia part 2 - Fetal tachyarrhythmias and their intrauterine treatment. Ultraschall Med 34: 322‒331PubMedCrossRef

Bergman G, Eliasson H, Mohlkert LA, Wahren-Herlenius M, Sonesson SE (2012) Progression to first-degree heart block in preschool children exposed in utero to maternal anti-SSA/Ro52 autoantibodies. Acta Paediatr 101: 488‒493PubMedCrossRef

Breur JM, Visser GH, Kruize AA, Stoutenbeek P, Meijboom EJ (2004) Treatment of fetal heart block with maternal steroid therapy: case report and review of the literature. Ultrasound Obstet Gynecol 24: 467‒472

Brucato A, Doria A, Frassi M, Castellino G, Franceschini F, Faden D, Pisoni MP et al. (2002) Pregnancy outcome in 100 women with autoimmune diseases and anti-Ro/SSA antibodies: a prospective controlled study. Lupus 11: 716‒721PubMedCrossRef

Buyon JP, Hiebert R, Copel J, Craft J, Friedman D, Katholi M, Lee LA et al. (1998) Autoimmune-associated congenital heart block: demographics, mortality, morbidity and recurrence rates obtained from a national neonatal lupus registry. J Am Coll Cardiol 31: 1658‒1666PubMedCrossRef

Cameron A, Nicholson S, Nimrod C, Harder J, Davies D, Fritzler M (1988) Evaluation of fetal cardiac dysrhythmias with two-dimensional, M-Mode, and pulsed Doppler ultrasonography. Am J Obstet Gynecol 158: 286‒290PubMedCrossRef

Carpenter RJ Jr, Strasburger JF, Garson A, Smith RT, Deter RL, Engelhardt HT (1986) Fetal ventricular pacing for hydrops secondary to complete atrioventricular block. J Am Coll Cardiol 8: 1434‒1436PubMedCrossRef

Chan FY, Woo SK, Ghosh A, Tang M, Lam C (1990) Prenatal diagnosis of congenital fetal arrhythmias by simultaneous pulsed Doppler velocimetry of the fetal abdominal aorta and inferior vena cava. Obstet Gynecol 76: 200‒204PubMed

Chaoui R, Bollmann R, Hoffmann H, Göldner B (1991) Fetale Echokardiographie. Teil III: Die fetalen Arrhythmien. Zentralbl Gynaekol 113: 1335‒1350

Clancy RM, Buyon JP (2004) Autoimmune-associated congenital heart block: dissecting the cascade from immunologic insult to relentless fibrosis. Anat Rec A Discov Mol Cell Evol Biol 280: 1027‒1035PubMedCrossRef

Clancy RM, Neufing PJ, Zheng P, O’Mahony M, Nimmerjahn F, Gordon TP, Buyon JP (2006) Impaired clearance of apoptotic cardiocytes is linked to anti-SSA/Ro and -SSB/La antibodies in the pathogenesis of congenital heart block. J Clin Invest 116: 2413‒2422PubMedPubMedCentral

Copel JA, Buyon JP, Kleinman CS (1995) Successful in utero therapy of fetal heart block. Am J Obstet Gynecol 173: 1384‒1390PubMedCrossRef

Cuneo BF, Strasburger JF, Wakai RT, Ovadia M (2006) Conduction system disease in fetuses evaluated for irregular cardiac rhythm. Fetal Diagn Ther 21: 307‒313PubMedCrossRef

Damiano RJ, Tripp HF, Asano T, Small KW, Jones RH, Lowe JE (1987) Left ventricular dysfunction and dilatation resulting from chronic supraventricular tachycardia. J Thorac Cardiovas Surg 94: 135‒143

Eliasson H, Sonesson SE, Sharland G, Granath F, Simpson JM, Carvalho JS, Jicinska H, Tomek V, Dangel J, Zielinsky P, Respondek-Liberska M, Freund MW, Mellander M, Bartrons J, Gardiner HM; Fetal Working Group of the European Association of Pediatric Cardiology (2011) Isolated atrioventricular block in the fetus: a retrospective, multinational, multicenter study of 175 patients. Circulation 124: 1919‒1926PubMedCrossRef

Eronen M, Sirèn MK, Ekblad H, Tikanoja T, Julkunen H, Paavilainen T (2000) Short- and long-term outcome of children with congenital complete heart block diagnosed in utero or as a newborn. Pediatrics 106: 86‒91PubMedCrossRef

Friedman DM, Kim MY, Copel JA, Llanos C, Davis C, Buyon JP (2009) Prospective evaluation of fetuses with autoimmune-associated congenital heart block followed in the PR Interval and Dexamethasone Evaluation (PRIDE) Study. Am J Cardiol 103(8): 1102–6PubMedPubMedCentralCrossRef

Friedman DM, Llanos C, Izmirly PM, Brock B, Byron J, Copel J, Cummiskey K, Dooley MA, Foley J, Graves C, Hendershott C, Kates R, Komissarova EV, Miller M, Paré E, Phoon CK, Prosen T, Reisner D, Ruderman E, Samuels P, Yu JK, Kim MY, Buyon JP (2010) Evaluation of fetuses in a study of intravenous immunoglobulin as preventive therapy for congenital heart block: Results of a multicenter, prospective, open-label clinical trial. Arthritis Rheum 62: 1138‒1146PubMedPubMedCentralCrossRef

Fouron JC (2004) Fetal arrhythmias: the Saint-Justine hospital experience. Prenat Diagn 24: 1068‒1080PubMedCrossRef

Fouron JC, Fournier A, Proulx F, Lamarche J, Bigras JL, Boutin C, Brassard M, Gamache S (2003) Management of fetal tachyarrhythmia based on superior vena cava/aorta Doppler flow recordings. Heart 89: 1211‒1216PubMedPubMedCentralCrossRef

Ganz LI, Friedman PL (1995) Supraventricular tachycardia. N Engl J Med 332: 162‒173PubMedCrossRef

Gembruch U (2009) Fetal tachyarrhythmia. In: Yagel S, Silverman N, Gembruch U (eds) Fetal cardiology 2nd ed., Informa Health Care, New York, pp 461‒481

Gembruch U, Bald R, Hansmann M (1990) Die farbcodierte M-Mode-Doppler-Echokardiographie bei der Diagnostik fetaler Arrhythmien. Geburtshilfe Frauenheilkd 50: 286‒290PubMedCrossRef

Gembruch U, Hansmann M, Redel DA, Bald R, Knöpfle G (1989a) Fetal complete heart block: Antenatal diagnosis, significance and management. Eur J Obstet Gynecol Reprod Biol 31: 9‒22PubMedCrossRef

Gembruch U, Holzgreve W (2003) Cardiac diseases in association with hydrops fetalis. In: Yagel S, Silverman N, Gembruch U (eds) Fetal cardiology. Martin Dunitz, London, pp 373‒401

Gembruch U, Knöpfle G, Bald R, Hansmann M (1993a) Early diagnosis of fetal congenital heart disease by transvaginal echocardiography. Ultrasound Obstet Gynecol 3: 310‒317PubMedCrossRef

Gembruch U, Krapp M, Baumann P (1995) Changes of venous blood flow velocity waveforms in fetuses with supraventricular tachycardia. Ultrasound Obstet Gynecol 5: 394‒399PubMedCrossRef

Gembruch U, Krapp M, Germer U, Baumann P (1999) Venous Doppler in the sonographic surveillance of fetuses with supraventricular tachycardia. Eur J Obstet Gynecol Reprod Biol 84: 187‒192PubMedCrossRef

Gembruch U, Manz M, Bald R, Rüddel H, Redel DA, Schlebusch H, Nitsch J, Hansmann M (1989b) Repeated intravascular treatment with amiodarone in a fetus with refractory supraventricular tachycardia and hydrops fetalis. Am Heart J 118: 1335‒1338PubMedCrossRef

Gembruch U, Redel DA, Bald R, Hansmann M (1993b) Longitudinal study in 18 cases of fetal supraventricular tachycardia: Doppler-echocardiographic findings and pathophysiological implications. Am Heart J 1993: 1290‒1301CrossRef

Gembruch U, Somville T (1995) Intrauterine Diagnostik und Therapie fetaler Arrhythmien. Gynäkologe 28: 329‒345PubMed

Gest AL, Bair DK, Vander Straten MC (1993) Thoracic duct lymph flow in fetal sheep with increased venous pressure from electrically induced tachycardia. Biol Neonate 64: 325‒330PubMedCrossRef

Gest AL, Martin CG, Moise AA, Hansen TN (1990) Reversal of venous blood flow with atrial tachycardia and hydrops in fetal sheep. Pediatr Res 28: 223‒226PubMedCrossRef

Groves AMM, Allan LD, Rosenthal E (1995) Therapeutic trial of sympathomimetics in three cases of complete heart block in the fetus. Circulation 92: 3394‒3396PubMedCrossRef

Hansmann M, Gembruch U, Bald R, Manz M, Redel DA (1991) Fetal tachyarrhythmias: transplacental and direct treatment of the fetus — a report of sixty fetuses. Ultrasound Obstet Gynecol 1: 162‒170PubMedCrossRef

Harris JP, Alexson CG, Manning JA, Thompson HO (1993) Medical therapy for the hydropic fetus with congenital complete atrioventricular block. Am J Perinatol 10: 217‒219PubMedCrossRef

Ho SY, Esscher E, Anderson RH, Michaelsson M (1986) Anatomy of congenital complete heart block and relation to maternal anti-Ro-antibodies. Am J Cardiol 58: 291‒294PubMedCrossRef

Ho SY, Fagg N, Anderson RH, Cook A, Allan LD (1992) Disposition of the atrioventricular conduction tissues in the heart with isomerism of the atrial appendages: its relation to congenital complete heart block. J Am Coll Cardiol 20: 904‒910PubMedCrossRef

Hofbeck M, Ulmer H, Beinder E, Sieber E, Singer H (1997) Prenatal findings in patients with prolonged QT interval in the neonatal period. Heart 77: 198‒204PubMedPubMedCentralCrossRef

Hosono T, Kawamata K, Chiba Y, Kandori A, Tsukada K (2002) Prenatal diagnosis of long QT syndrome using magnetocardiography: a case reprot and review of the literature. Prenat Diagn 22: 198‒200PubMedCrossRef

Hutter D, Silverman ED, Jaeggi ET (2010) The benefits of transplacental treatment of isolated congenital complete heart block associated with maternal anti-Ro/SSA antibodies: a review. Scand J Immunol 72: 235‒241PubMedCrossRef

Izmirly PM, Costedoat-Chalumeau N, Pisoni CN, Khamashta MA, Kim MY, Saxena A, Friedman D, Llanos C, Piette JC, Buyon JP (2012) Maternal use of hydroxychloroquine is associated with a reduced risk of recurrent anti-SSA/Ro-antibody-associated cardiac manifestations of neonatal lupus. Circulation 126: 76–82PubMedPubMedCentralCrossRef

Izmirly PM, Saxena A, Sahl SK, Shah U, Friedman DM, Kim MY, Buyon JP (2016) Assessment of fluorinated steroids to avert progression and mortality in anti-SSA/Ro-associated cardiac injury limited to the fetal conduction system. Ann Rheum Dis 75: 1161‒1165PubMedCrossRef

Jaeggi ET, Fouron JC, Fournier A, van Doesburg N, Drblik SP, Proulx F (1998) Ventriculo-atrial time interval measured on M mode echocardiography: a determing element in diagnosis, treatment, and prognosis of fetal supraventricular tachycardia. Heart 79: 582‒587PubMedPubMedCentralCrossRef

Jaeggi ET, Fouron JC, Silverman ED, Ryan G, Smallhorn J, Hornberger LK (2004) Transplacental fetal treatment improves the outcome of prenatallly diagnosed complete atrioventricular block without structural heart disease. Circulation 110: 1542‒1548PubMedCrossRef

Jaeggi ET, Hornberger LK, Smallhorn JF, Fouron JC (2005) Prenatal diagnosis of complete atrioventricular block associated with structural heart disease: combined experience of two tertiary care centers and review of the literature. Ultrasound Obstet Gynecol 26: 16‒21PubMedCrossRef

Jaeggi ET, Silverman ED, Laskin C, Kingdom J, Golding F, Weber R (2011a) Prolongation of the atrioventricular conduction in fetuses exposed to maternal anti-Ro/SSA and anti-La/SSB antibodies did not predict progressive heart block. A prospective observational study on the effects of maternal antibodies on 165 fetuses. J Am Coll Cardiol 29;57: 1487–92CrossRef

Jaeggi ET, Carvalho JS, De Groot E, Api O, Clur SA, Rammeloo L, McCrindle BW, Ryan G, Manlhiot C, Blom NA (2011b) Comparison of transplacental treatment of fetal supraventricular tachyarrhythmias with digoxin, flecainide, and sotalol: results of a nonrandomized multicenter study. Circulation 124: 1747‒1754PubMedCrossRef

Jouannic JM, Delahaye S, Fermont L, Le Bidois J, Villain E, Dumez Y, Dommergues M (2003) Fetal supraventricular tachycardia: a role for amiodarone as second-line therapy. Prenat Diagn 23: 152‒156PubMedCrossRef

Kähler C, Grimm B, Schleussner E, Schneider A, Schneider U, Nowak H, Vogt L, Seewald HJ (2001) The application of fetal magnetocardiography (FMCG) to investigate fetal arrhythmias and congenital heart defects (CHD). Prenat Diagn 21: 176‒182PubMedCrossRef

Kanzaki T, Murakami M, Kobayashi H, Chiba Y (1991) Characteristic abnormal blood flow pattern of the inferior vena cava in fetal arrhythmias. J Matern Fetal Invest 1: 35‒39

Kleinman CS, Copel JA (1991) Electrophysiological principles and fetal antiarrhythmic therapy. Ultrasound Obstet Gynecol 1: 286‒297PubMedCrossRef

Kleinman CS, Copel JA (1993) Fetal cardiac dysrhythmias: diagnosis and treatment. In: Chervenak FA, Isaacson GC, Campbell S (eds) Ultrasound in obstetrics and gynecology. Little & Brown, Boston, pp 939‒951

Kleinman CS, Copel JA, Weinstein EM, Santulli TV, Hobbins JC (1985) In utero diagnosis and treatment of fetal supraventricular tachycardia. Semin Perinatol 9: 113‒129PubMed

Ko JK, Deal BJ, Strasburger JF, Benson DW, Donovan M (1992) Supraventricular tachycardia mechanisms and their age distribution in pediatric patients. Am J Cardiol 69: 1028‒1031PubMedCrossRef

Kohl T (2003) Saving the smallest hearts – cardiac intervention for structural heart disease and arrhythmias in the fetus. In: Yagel S, Silverman N, Gembruch U (eds) Fetal cardiology. Martin Dunitz, London, pp 497‒517

Kothari DS, Skinner JR (2006) Neonatal tachycardias: an update. Arch Dis Child Fetal Neonanatl Ed 91: 136‒144CrossRef

Krapp M, Baschat AA, Gembruch U, Geipel A, Germer U (2002) Flecainide in the intrauterine treatment of fetal suparventricular tachycardia. Ultrasound Obstet Gynecol 19: 158‒164PubMedCrossRef

Krapp M, Gembruch U, Baumann P (1997) Venous blood flow pattern suggesting tachycardia-induced cardiomyopathy in the fetus. Ultrasound Obstet Gynecol 10: 32‒40PubMedCrossRef

Krapp M, Kohl T, Simpson JM, Sharland G, Katalinic A, Gembruch U (2003) Review of diagnosis, treatment, and outcome of fetal atrial flutter compared with supraventricular tachycardia. Heart 89: 913‒917PubMedPubMedCentralCrossRef

Litsey SE, Noonan JA, O’Connor WN, Cottrill CM, Mitchell B (1985) Maternal connective tissue disease and congenital heart block. N Engl J Med 312: 90‒100CrossRef

Machado MVL, Tynan MJ, Curry PVL, Allan LD (1988) Fetal complete heart block. Br Heart J 60: 512‒515PubMedPubMedCentralCrossRef

Maxwell DJ, Crawford DC, Curry PVM, Tynan MJ, Allan LD (1988) Obstetric importance, diagnosis, and management of fetal tachycardias. Br Med J 297: 107‒110CrossRef

Michaelsson M, Engle MA (1972) Congenital complete heart block: an international study of the natural history. Cardiovasc Clin 4: 85‒101PubMed

Mitchell JL, Cuneo BF, Etheridge SP, Horigome H, Weng HY, Benson DW (2012) Fetal heart rate predictors of long QT syndrome. Circulation 126: 2688‒2695PubMedCrossRef

Naheed ZJ, Strasburger JF, Deal BJ, Benson DW Jr, Gidding SS (1996) Fetal tachycardia: mechanisms and predictors of hydrops fetalis. J Am Coll Cardiol 27: 1736‒1740PubMedCrossRef

Nimrod C, Davies D, Harder J et al. (1987) Ultrasound evaluation of tachycardia-induced hydrops in the fetal lamb. Am J Obstet Gynecol 157: 655‒699PubMedCrossRef

Olàh KS, Gee H (1991) Fetal heart block associated with maternal anti-Ro (SS-A) antibody – current management. A review. Br J Obstet Gynaecol 98: 751‒755PubMedCrossRef

Packer DL, Bardy GH, Worley SJ et al (1986) Tachycardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction. Am J Cardiol 57: 563‒570PubMedCrossRef

Pisoni CN1, Brucato A, Ruffatti A, Espinosa G, Cervera R, Belmonte-Serrano M, Sánchez-Román J, García-Hernández FG, Tincani A, Bertero MT, Doria A, Hughes GR, Khamashta MA (2010) Failure of intravenous immunoglobulin to prevent congenital heart block: Findings of a multicenter, prospective, observational study. Arthritis Rheum 62: 1147‒1152PubMedCrossRef

Reed KL (1989) Fetal arrhythmias: etiology, diagnosis, pathophysiology, and treatment. Semin Perinatol 13: 294‒304PubMed

Reed KL, Sahn D, Marx GR, Anderson C, Shenker L (1987) Cardiac doppler flows during fetal arrhythmias: physiologic consequences. Obstet Gynecol 70: 1‒6PubMed

Rein AJJT, O’Donnell C, Geva T, Nir A, Perles Z, Hashimoto I, Li XK, Sahn DJ (2002) Use of tissue velocity imaging in the diagnosis of fetal cardiac arrhythmias. Circulation 106: 1827‒1833PubMedCrossRef

Rice M, McDonald R, Reller M (1988) Fetal atrial septal aneurysm: a cause of fetal atrial arrhythmias. J Am Coll Cardiol 12: 1292‒1297PubMedCrossRef

Schmidt KG, Ulmer HE, Silverman NH, Kleinman CS, Copel JA (1991) Perinatal outcome of fetal complete heart block: a multicenter experience. J Am Coll Cardiol 91: 1360‒1366CrossRef

Schneider U, Haueisen J, Loeff M, Bondarenko N, Schleussner E (2005) Prenatal diagnosis of a long QT syndrome by fetal magnetocardiography in an unshielded bedside environment. Prenat Diagn 25: 704‒708PubMedCrossRef

Scott J, Maddison P, Taylor P, Essscher E, Scott O, Scinner R (1983) Connective tissue antibodies to ribonucleoprotein and congenital heart block. N Engl J Med 309: 209‒212PubMedCrossRef

Simpson JM (2006) Fetal arrhythmias (Editorial). Ultrasound Obstet Gynecol 27: 599‒606PubMedCrossRef

Simpson JM, Sharland GK (1998) Fetal tachycardias: management and outcome of 127 consecutive cases. Heart 79: 567‒581CrossRef

Simpson J, Silverman N (2003) Diagnosis of cardiac arrhythmias during fetal life. In: Yagel S, Silverman N, Gembruch U (eds) Fetal cardiology. Martin Dunitz, London, pp 333‒344

Spinale FG, Tanaka R, Crawford FA, Zile MR (1992) Changes in myocardial blood flow during development of and recovery from tachycardia-induced cardiomyopathy. Circulation 85: 717‒729PubMedCrossRef

Sirèn MK, Julkunen H, Kaaja R (1998) The increasing incidence of isolated congenital heart block in Finland. J Rheumatol 25: 1862‒1864PubMed

Solomon DG, Rupel A, Buyon JP (2003) Birth order and recurrence rate in autoantibody-associated congenital heart block: implications for pathogenesis and familiy counseling. Lupus 12: 646‒647PubMedCrossRef

Sonesson SE, Salomonsson S, Jacobsson LA, Bremme K, Wahren-Herlenius M (2004) Signs of first-degree heart block occur in one-third of fetuses of pregnant women with anti-SSA/Ro 52-kd antibodies. Arthritis Rheum 50: 1253‒1261PubMedCrossRef

Stevens DC, Hilliard JK, Schreiner RL et al (1982) Supraventricular tachycardia with edema, ascites, and hydrops in fetal sheep. Am J Obstet Gynecol 142: 316‒322PubMedCrossRef

Stewart PA, Tonge HM, Wladimiroff JW (1983) Arrhythmia and structural abnormalities of the fetal heart. Br Heart J 50: 550‒554PubMedPubMedCentralCrossRef

Stewart PA, Wladimiroff J (1988) Fetal atrial arrhythmias associated with redundancy/aneurysm of the foramen ovale. J Clin Ultrasound 16: 643‒650PubMedCrossRef

Stinstra J, Goldbach E, van Leeuwen P, Lange S, Menendez T, Moshage W et al. (2002) Multicentre study of fetal cardiac time intervals using magnetocardiography. Br J Obstet Gynaecol 109: 1235‒1243CrossRef

Strasburger JF, Cuneo BF, Michon MM, Gotteiner NL, Deal BJ, McGregor SN et al. (2004) Amiodarone therapy for drug-refractory fetal tachycardia. Circulation 109: 375‒379PubMedCrossRef

Strasburger JF, Huhta JC, Carpenter RJ, Garson A, McNamara DG (1986) Doppler echocardiography in the diagnosis and management of persistent fetal arrhythmias. J Am Coll Cardiol 7: 1386‒1391PubMedCrossRef

Strizek B, Berg C, Gottschalk I, Herberg U, Geipel A, Gembruch U (2016) High-dose flecainide is the most effective treatment of fetal supraventricular tachycardia. Heart Rhythm 13: 1283‒1288PubMedCrossRef

Taylor PV, Taylor KF, Norman A, Griffiths S, Scott JS (1988) Prevalence of maternal Ro (SS-A) and La (SS-B) autoantibodies in relation to congenital heart block. Br J Rheumatol 27: 128‒132PubMedCrossRef

Van der Mooren K, Wladimiroff JW, Stijen T (1992) Fetal atrioventricular and outflow tract flow velocity waveforms during conducted and blocked supraventricular extrasystoles. Ultrasound Obstet Gynecol 2: 182‒189PubMedCrossRef

Vesel S, Mazić U, Blejec T, Podnar T (2004) First-degree heart block in the fetus of an anti-SSA/Ro-positive mother. Arthritis Rheum 50: 2223‒2226PubMedCrossRef

Watson RM, Lane AT, Barnett NK, Bias WB, Arnett FC, Provost TT (1984) Neonatal lupus erythematosus: a clinical, serological and immunogenetic study with review of the literature. Medicine (Baltimore) 63: 362‒378CrossRef

Wakai RT, Strasburger JF, Li Z, Deal BJ, Gotteiner NL (2003) Magnetocardiographic rhythm patterns at initiation and termination of fetal supraventricular tachycardia. Circulation 107: 307‒312PubMedCrossRef

Wacker-Gussmann A, Strasburger JF, Cuneo BF, Wakai RT (2014) Diagnosis and treatment of fetal arrhythmia. Am J Perinatol 31: 617‒628PubMedPubMedCentralCrossRef

Willruth A, Steinhard J, Enzensberger C, Axt-Fliedner R, Gembruch U, Doelle A, Gorissen W, Fimmers R, Bahlmann F (2016) Fetal colour tissue Doppler imaging (cTDI): biventricular reference ranges for the time segments of the cardiac cycle in second and third trimesters of gestation. Arch Gynecol Obstet 294: 917‒924PubMedCrossRef

Zhao H, Strasburger JF, Cuneo BF, Wakai RT (2006) Fetal cardiac repolarization abnormalities. Am J Cardiol 98: 491‒496PubMedCrossRef

Titel: Dopplerechokardiographie bei fetalen Arrhythmien
verfasst von: U. Gembruch
Verlag: Springer Berlin Heidelberg
Buch: Dopplersonographie in Geburtshilfe und Gynäkologie
Print ISBN: 978-3-662-54965-0

Electronic ISBN: 978-3-662-54966-7

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-54966-7_22

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Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

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