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Chapter 14 - Fetal Cardiac Arrhythmias (Content last reviewed: 15th March 2020)

from Section 3 - Late Prenatal – Fetal Problems

Published online by Cambridge University Press:  15 November 2017

David James
Affiliation:
University of Nottingham
Philip Steer
Affiliation:
Imperial College London
Carl Weiner
Affiliation:
University of Kansas
Bernard Gonik
Affiliation:
Wayne State University, Detroit
Stephen Robson
Affiliation:
University of Newcastle
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Summary

The myocardium first starts to contract about 26 days after conception as a consequence of the rhythmical electrical depolarization of pacemaker-precursor cells. Cardiac arrhythmias are commonly encountered later in development and have been reported in about 2% of all pregnancies. With increasing use of antenatal screening, arrhythmias are more likely to be encountered, usually as a random pick-up. While the majority of them are benign (mostly atrial ectopic beats), some are associated with significant morbidity and mortality. For the latter group appropriate antenatal diagnosis may improve outcome by proper pre- and postnatal therapy.

Type
Chapter
Information
High-Risk Pregnancy
Management Options
, pp. 321 - 339
Publisher: Cambridge University Press
First published in: 2017

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