NEW INSIGHTS IN THE DIAGNOSTIC AND TREATMENT OF FETAL CARDIAC ARRHYTHMIA

26 nov. 2009 NEW INSIGHTS IN THE DIAGNOSTIC AND TREATMENT OF FETAL CARDIAC ARRHYTHMIA

D. Muresan, F.Stamatian
Clinica de Obstetrica-Ginecologie I, UMF “Iuliu Hatieganu”, Cluj – Napoca

Rezumat
    Aritmia fetala reprezinta o patologie care poate afecta serios deyvoltarea fetala si evolutia postnatala a noui nascutului daca nu este identificat si tratat la timp. Acesta poate afecta 1-2I din sarcini si pot deterina insuficienta cardiaca sefera, hidrops fetal non imun si nu in ultimmul rand mortera intrauterina a fatului. Ecocardiografia este metoda ideala de diagnosticarea a acestor aritmii, dar este de asemenea utila in urmarirea raspunsului la tratament.
   Rezultatul la tratament depinde in mare masura de un diagnostic corect, de cunostinte bune in privinta fiziopatologiei fetale si alegerea unui tratament optim.

Abstract – NEW INSIGHTS IN THE DIAGNOSTICS AND TREATMENT OF FETAL CARDIAC ARRHYTHMIA
    Fetal cardiac arrhythmia represents a pathology that can affect seriously the development of the fetus and neonate if not identified and treat adequately. It can appear in 1-2 I of pregnancies and can lead to fetal congestive heart failure, non-immune hydrops fetalis or even fetal death. The echocardiography is the dominant modality for the assessment of fetal arrhythmias and also to monitor fetal response to therapy, with the two major meth­ods: M-mode and Doppler mode of the intracardiac flows.
   The results of the treatment depend on a good diagnostic, a good knowledge of the physiology of the fetal cardiac function, an appropriate choice of the antiarrhythmic drugs and the association / or not, of another cardiac or extracardiac fetal malformation.
Key words: fetal arrhythmia