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Fetal arrhythmia

MedGen UID:
678498
•Concept ID:
C0853154
•
Finding
Synonym: Fetal Arrhythmia
SNOMED CT: Fetal arrhythmia (276512006)

Definition

A variation from the normal heart rhythm in a fetus. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFetal arrhythmia

Professional guidelines

PubMed

2023 HRS expert consensus statement on the management of arrhythmias during pregnancy.
Joglar JA, Kapa S, Saarel EV, Dubin AM, Gorenek B, Hameed AB, Lara de Melo S, Leal MA, Mondésert B, Pacheco LD, Robinson MR, Sarkozy A, Silversides CK, Spears D, Srinivas SK, Strasburger JF, Tedrow UB, Wright JM, Zelop CM, Zentner D
Heart Rhythm 2023 Oct;20(10):e175-e264. Epub 2023 May 19 doi: 10.1016/j.hrthm.2023.05.017. PMID: 37211147
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis.
Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS
Am J Obstet Gynecol 2015 Feb;212(2):127-39. Epub 2014 Dec 31 doi: 10.1016/j.ajog.2014.12.018. PMID: 25557883

Recent clinical studies

Etiology

2023 HRS expert consensus statement on the management of arrhythmias during pregnancy.
Joglar JA, Kapa S, Saarel EV, Dubin AM, Gorenek B, Hameed AB, Lara de Melo S, Leal MA, Mondésert B, Pacheco LD, Robinson MR, Sarkozy A, Silversides CK, Spears D, Srinivas SK, Strasburger JF, Tedrow UB, Wright JM, Zelop CM, Zentner D
Heart Rhythm 2023 Oct;20(10):e175-e264. Epub 2023 May 19 doi: 10.1016/j.hrthm.2023.05.017. PMID: 37211147
Contribution of Fetal Magnetocardiography to Diagnosis, Risk Assessment, and Treatment of Fetal Arrhythmia.
Wacker-Gussmann A, Strasburger JF, Wakai RT
J Am Heart Assoc 2022 Aug 2;11(15):e025224. Epub 2022 Jul 29 doi: 10.1161/JAHA.121.025224. PMID: 35904205Free PMC Article
Implications of fetal premature atrial contractions: systematic review.
Bet BB, De Vries JM, Limpens J, Van Wely M, Van Leeuwen E, Clur SA, Pajkrt E
Ultrasound Obstet Gynecol 2022 Dec;60(6):721-730. doi: 10.1002/uog.26017. PMID: 35763619Free PMC Article
Fetal cardiac interventions.
Yuan SM
Pediatr Neonatol 2015 Apr;56(2):81-7. Epub 2014 Jul 24 doi: 10.1016/j.pedneo.2014.04.007. PMID: 25088192
Cardiac arrhythmias in pregnancy.
Knotts RJ, Garan H
Semin Perinatol 2014 Aug;38(5):285-8. Epub 2014 May 27 doi: 10.1053/j.semperi.2014.04.017. PMID: 25037518

Diagnosis

2023 HRS expert consensus statement on the management of arrhythmias during pregnancy.
Joglar JA, Kapa S, Saarel EV, Dubin AM, Gorenek B, Hameed AB, Lara de Melo S, Leal MA, Mondésert B, Pacheco LD, Robinson MR, Sarkozy A, Silversides CK, Spears D, Srinivas SK, Strasburger JF, Tedrow UB, Wright JM, Zelop CM, Zentner D
Heart Rhythm 2023 Oct;20(10):e175-e264. Epub 2023 May 19 doi: 10.1016/j.hrthm.2023.05.017. PMID: 37211147
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Contribution of Fetal Magnetocardiography to Diagnosis, Risk Assessment, and Treatment of Fetal Arrhythmia.
Wacker-Gussmann A, Strasburger JF, Wakai RT
J Am Heart Assoc 2022 Aug 2;11(15):e025224. Epub 2022 Jul 29 doi: 10.1161/JAHA.121.025224. PMID: 35904205Free PMC Article
Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis.
Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS
Am J Obstet Gynecol 2015 Feb;212(2):127-39. Epub 2014 Dec 31 doi: 10.1016/j.ajog.2014.12.018. PMID: 25557883
Fetal cardiac interventions.
Yuan SM
Pediatr Neonatol 2015 Apr;56(2):81-7. Epub 2014 Jul 24 doi: 10.1016/j.pedneo.2014.04.007. PMID: 25088192

Therapy

2023 HRS expert consensus statement on the management of arrhythmias during pregnancy.
Joglar JA, Kapa S, Saarel EV, Dubin AM, Gorenek B, Hameed AB, Lara de Melo S, Leal MA, Mondésert B, Pacheco LD, Robinson MR, Sarkozy A, Silversides CK, Spears D, Srinivas SK, Strasburger JF, Tedrow UB, Wright JM, Zelop CM, Zentner D
Heart Rhythm 2023 Oct;20(10):e175-e264. Epub 2023 May 19 doi: 10.1016/j.hrthm.2023.05.017. PMID: 37211147
Treatment, not delivery, of the late preterm and term fetus with supraventricular arrhythmia.
Holmes S, Hornberger LK, Jaeggi E, Howley L, Moon-Grady AJ, Uzun O, Kaizer A, Gilicze O, Cuneo BF
Ultrasound Obstet Gynecol 2023 Oct;62(4):552-557. Epub 2023 Sep 6 doi: 10.1002/uog.26239. PMID: 37128167
Fetal Supraventricular Tachycardia: What the Adult Cardiologist Needs to Know.
Purkayastha S, Weinreich M, Fontes JD, Lau JF, Wolfe DS, Bortnick AE
Cardiol Rev 2022 Jan-Feb 01;30(1):31-37. doi: 10.1097/CRD.0000000000000370. PMID: 33165088Free PMC Article
Cardiac arrhythmias in pregnancy.
Knotts RJ, Garan H
Semin Perinatol 2014 Aug;38(5):285-8. Epub 2014 May 27 doi: 10.1053/j.semperi.2014.04.017. PMID: 25037518
Supraventricular tachycardia in fetus: how can we treat ?
Mongiovì M, Pipitone S
Curr Pharm Des 2008;14(8):736-42. doi: 10.2174/138161208784007725. PMID: 18393872

Prognosis

Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis.
Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS
Am J Obstet Gynecol 2015 Feb;212(2):127-39. Epub 2014 Dec 31 doi: 10.1016/j.ajog.2014.12.018. PMID: 25557883
Fetal cardiac interventions.
Yuan SM
Pediatr Neonatol 2015 Apr;56(2):81-7. Epub 2014 Jul 24 doi: 10.1016/j.pedneo.2014.04.007. PMID: 25088192
Examination of the fetal cardiovascular system.
Baschat AA
Semin Fetal Neonatal Med 2011 Feb;16(1):2-12. doi: 10.1016/j.siny.2010.09.002. PMID: 20864421
Fetal cardiac arrhythmia detection and in utero therapy.
Strasburger JF, Wakai RT
Nat Rev Cardiol 2010 May;7(5):277-90. doi: 10.1038/nrcardio.2010.32. PMID: 20418904Free PMC Article

Clinical prediction guides

Systematic review of long QT syndrome identified during fetal life.
Chivers S, Ovadia C, Regan W, Zidere V, Vigneswaran T, Sharland G, Rosenthal E, Seed PT, Simpson JM, Williamson C
Heart Rhythm 2023 Apr;20(4):596-606. Epub 2022 Dec 22 doi: 10.1016/j.hrthm.2022.12.026. PMID: 36566891
Fetal Arrhythmia Diagnosis and Pharmacologic Management.
Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A
J Clin Pharmacol 2022 Sep;62 Suppl 1(Suppl 1):S53-S66. doi: 10.1002/jcph.2129. PMID: 36106782Free PMC Article
Outcome of prenatally diagnosed fetal heterotaxy: systematic review and meta-analysis.
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Bile acid signaling in fetal tissues: implications for intrahepatic cholestasis of pregnancy.
Williamson C, Miragoli M, Sheikh Abdul Kadir S, Abu-Hayyeh S, Papacleovoulou G, Geenes V, Gorelik J
Dig Dis 2011;29(1):58-61. Epub 2011 Jun 17 doi: 10.1159/000324130. PMID: 21691106
Examination of the fetal cardiovascular system.
Baschat AA
Semin Fetal Neonatal Med 2011 Feb;16(1):2-12. doi: 10.1016/j.siny.2010.09.002. PMID: 20864421

Recent systematic reviews

Systematic review of long QT syndrome identified during fetal life.
Chivers S, Ovadia C, Regan W, Zidere V, Vigneswaran T, Sharland G, Rosenthal E, Seed PT, Simpson JM, Williamson C
Heart Rhythm 2023 Apr;20(4):596-606. Epub 2022 Dec 22 doi: 10.1016/j.hrthm.2022.12.026. PMID: 36566891
Implications of fetal premature atrial contractions: systematic review.
Bet BB, De Vries JM, Limpens J, Van Wely M, Van Leeuwen E, Clur SA, Pajkrt E
Ultrasound Obstet Gynecol 2022 Dec;60(6):721-730. doi: 10.1002/uog.26017. PMID: 35763619Free PMC Article
Outcome of prenatally diagnosed fetal heterotaxy: systematic review and meta-analysis.
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Society for maternal-fetal medicine (SMFM) clinical guideline #7: nonimmune hydrops fetalis.
Society for Maternal-Fetal Medicine (SMFM), Norton ME, Chauhan SP, Dashe JS
Am J Obstet Gynecol 2015 Feb;212(2):127-39. Epub 2014 Dec 31 doi: 10.1016/j.ajog.2014.12.018. PMID: 25557883
Fetal presentation of long QT syndrome--evaluation of prenatal risk factors: a systematic review.
Ishikawa S, Yamada T, Kuwata T, Morikawa M, Yamada T, Matsubara S, Minakami H
Fetal Diagn Ther 2013;33(1):1-7. Epub 2012 Jul 6 doi: 10.1159/000339150. PMID: 22776830

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