Haemodynamic assessment of fetal heart arrhythmias
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1984.tb04824.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 91, Issue 7, pages 647–652, July 1984
Additional Information
How to Cite
LINGMAN, G., DAHLSTRÖM, J.-A., EIK-NES, S. H., MARŠÁL, K., OHLIN, P. and OHRLANDER, S. (1984), Haemodynamic assessment of fetal heart arrhythmias. BJOG: An International Journal of Obstetrics & Gynaecology, 91: 647–652. doi: 10.1111/j.1471-0528.1984.tb04824.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Received 22 July 1983 Accepted S December 1983
- Abstract
- References
- Cited By
Summary.
The effects of fetal heart arrhythmias were examined serially in two pregnancies by three non-invasive methods: fetal ECG, fetal phonocardiography and ultrasonic measurement of fetal blood flow. In a case of supraventricular arrhythmia, there was evidence suggesting that the stroke volume varied with ventricular filling according to the Frank - Starling law. In a case of total atrioventricular block the mean blood flow in the fetal descending aorta and in the umbilical vein was within the normal range. Blood flow velocity in the inferior vena cava of the fetus reflected atrial contractions. In the phonocardiogram, a phenomenon similar to‘bruit de canon’ was found. Both pregnancies had good outcomes and subsequent development of the infants was normal except for the persisting dysrhythmias. The two cases exemplify how fetal heart function can be assessed in utero.

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