Ventricular tachycardia secondary to prolongation of the QT interval in a fetus with autoimmune mediated congenital complete heart block

被引:17
作者
Duke, C
Stuart, G
Simpson, JM
机构
[1] Guys Hosp, Dept Congenital Heart Dis, Fetal Cardiol Unit, London SE1 9RT, England
[2] Glenfield Hosp, Dept Paediat Cardiol, Leicester, Leics, England
[3] Bristol Royal Hosp Children, Congenital Heart Unit, Bristol, Avon, England
[4] Guys Hosp, Dept Congenital Heart Dis, Fetal Cardiol Unit, London SE1 9RT, England
关键词
long QT syndrome; fetal heart; anti-Ro antibody; echocardiography; prenatal diagnosis; arrhythmia;
D O I
10.1017/S1047951105000673
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case where fetal echocardiography identified both complete heart block and ventricular tachycardia. The mother tested positive for anti-Ro antibodies. Prenatal detection of this unusual combination of arrhythmias prompted early postnatal evaluation, which revealed prolongation of the QT interval. Autoimmune mediated congenitally complete heart block associated with such prolongation of the QT interval has a poor prognosis. The child was successfully treated with beta blockers and implantation of a pacemaker.
引用
收藏
页码:319 / 321
页数:3
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