胎儿节律失常的产前诊断和产后的结果
Keerthana Kothandaraman1, Ponmozhi Ganesan1, Vikram Nadig Ns1
1The Fetal Clinic, No.8, Bajanai Madam Street, Ellaipillaichavady, Puducherry, 605005, India.
Indian pacing and electrophysiology journal
|October 14, 2023
概括
胎儿节律失常的产前诊断是可行的,准确度很高. 产后结局通常是有利的,无论母亲的抗体状况如何,心脏起器依赖的风险很低.
科学领域:
- 心脏病学 心脏病学
- 产前诊断 在产前诊断
- 胎儿医学 胎儿医学
背景情况:
- 在产前诊断的胎儿节律失常会导致严重的家长和临床焦虑,由于有限的结果数据.
- 准确的产前识别和理解产后结果对于管理受影响的怀孕至关重要.
研究的目的:
- 为了将胎儿节律失常的产前发现与产后结果相关联.
- 评估精确产前诊断胎儿律失常的可行性.
- 评估产后干预措施的需要,如起器.
主要方法:
- 对于2017年至2021年间诊断的胎儿节律不良病例的回顾性分析.
- 纳入标准:持续的胎儿律不良超过11周的妊娠期.
- 产前诊断与产后结果和干预措施的相关性.
主要成果:
- 二十个胎儿被诊断出患有肌动脉节律不良 (完整的AV阻塞50% ,阴道肌动脉35%).
- 40%的胎儿有相关的心脏或心脏外异常.
- 高产前诊断准确度 (~90%);低产后起器要求,不管母亲的Anti Ro/La抗体.
结论:
- 在约90%的病例中,可以准确地确定胎儿节律不良的产前诊断.
- 需要产后起器的风险是低的胎儿与节律不良.
- 母亲的Anti Ro/La抗体状况似乎不会显著影响对产后起器的需求.
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