|
Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Decreased baseline variability on fetal heart rate pattern in a fetus with heterotaxy syndrome
Title: | Decreased baseline variability on fetal heart rate pattern in a fetus with heterotaxy syndrome |
Authors: | Yamada, Ryutaro Browse this author | Takei, Kohta Browse this author | Kaneshi, Yosuke Browse this author | Morikawa, Mamoru Browse this author →KAKEN DB | Cho, Kazutoshi Browse this author →KAKEN DB | Minakami, Hisanori Browse this author →KAKEN DB |
Keywords: | cardiotocogram | congenital cardiac malformation | fetal arrhythmia | fetal heart rate pattern | isomerism |
Issue Date: | Dec-2015 |
Publisher: | Wiley-Blackwell |
Journal Title: | Journal of obstetrics and gynaecology research |
Volume: | 41 |
Issue: | 12 |
Start Page: | 1988 |
End Page: | 1990 |
Publisher DOI: | 10.1111/jog.12824 |
PMID: | 26421346 |
Abstract: | In a fetus with suspected heterotaxy syndrome, a decreased/absent baseline variability of fetal heart rate pattern developed at gestational week 36(+5) and continued for 5 days until birth at gestational week 37(+2), while repeat biophysical profile scorings with ultrasound were consistently unremarkable. This neonate weighing 2404 g with Apgar scores of 7 (1-min) and 8 (5-min) and umbilical arterial cord blood pH of 7.28 with base deficit of 3.9mmol/L, showed a heart rate of 120 b.p.m. for 3 h after birth, but subsequently developed sinus bradycardia (84 b.p.m.) unresponsive to crying. Isoproterenol initiated 9 h after birth was effective in the increase of heart rate to 120 b.p.m. in this neonate. Brain magnetic resonance imaging at 16 days of age was unremarkable. The decreased/absent baseline variability of fetal heart rate pattern was speculated to have been caused by sinus node dysfunction, and not by reduced fetal oxygenation in this case. |
Rights: | This is the peer reviewed version of the following article: Yamada, R., Takei, K., Kaneshi, Y., Morikawa, M., Cho, K., and Minakami, H. (2015) Decreased baseline variability on fetal heart rate pattern in a fetus with heterotaxy syndrome. J. Obstet. Gynaecol. Res., 41: 1988–1990., which has been published in final form at http://dx.doi.org/10.1111/jog.12824. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/63711 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
Submitter: 水上 尚典
|