Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report
The co-existing maternal (MA) and fetal arrythmia (FA) are associated with maternal goiter disease, chorioamnionitis, or Ballantyne’s syndrome. The aim of the study - to determine the involvement of maternal arrhythmia and fetal arrhythmia in the pathogenic scenario of hemodynamic deterioration i...
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Group of Companies Med Expert, LLC
2024-02-01
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| Series: | Український журнал Здоров'я жінки |
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| Online Access: | http://ujhw.med-expert.com.ua/article/view/301738 |
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| author | I.V. Lakhno I.M. Sykal S.M. Korovai V.M. Korotych A.E. Tkachov |
| author_facet | I.V. Lakhno I.M. Sykal S.M. Korovai V.M. Korotych A.E. Tkachov |
| author_sort | I.V. Lakhno |
| collection | DOAJ |
| description | The co-existing maternal (MA) and fetal arrythmia (FA) are associated with maternal goiter disease, chorioamnionitis, or Ballantyne’s syndrome.
The aim of the study - to determine the involvement of maternal arrhythmia and fetal arrhythmia in the pathogenic scenario of hemodynamic deterioration in Ballantyne’s syndrome.
Clinical case. It is presented the case of sustained several weeks of MA and FA. A pregnant woman aged 36 years was admitted to the division of maternal and fetal medicine at 34 weeks of gestation. She was gravida 4 and para 3. She had complaints of rapid heartbeat, left-side chest discomfort, and lower extremities edema. The diagnosis of maternal sinus tachycardia was supported via electrocardiography. The indices of fetal, umbilical, and uteroplacental hemodynamics detected via Doppler ultrasound were appropriate. However, fetal heart rate was 209 beats/min. The transplacental attack of oral sotalol 80 mg thrice daily was prescribed. But maternal and fetal tachycardia persisted to stay. The tricuspid regurgitation was detected via Doppler ultrasound next day. The fetus was hydropic. The male baby of 2400 g, 46 cm length, 31 cm head circumference, and Apgar score 3→5 was delivered via caesarean. The newborn was discharged in 21 days. He was admitted again in one month for rehabilitation. Maternal heart rate reduced to 72 beats/min and edema regressed in three days after birth.
Conclusions. MA and FA before fetal hydrops are supposed to be the early signs of mirror syndrome. This speculation needs further investigation.
The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors. |
| format | Article |
| id | doaj-art-5db08827bd984658a4825bbd983ee9f2 |
| institution | Kabale University |
| issn | 2786-6009 2786-6017 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Group of Companies Med Expert, LLC |
| record_format | Article |
| series | Український журнал Здоров'я жінки |
| spelling | doaj-art-5db08827bd984658a4825bbd983ee9f22025-01-17T20:01:26ZengGroup of Companies Med Expert, LLCУкраїнський журнал Здоров'я жінки2786-60092786-60172024-02-011(170)878910.15574/HW.2024.170.87340103Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case reportI.V. Lakhno0https://orcid.org/0000-0002-7914-7296I.M. Sykal1S.M. Korovai2V.M. Korotych3A.E. Tkachov4Kharkiv National Medical UniversityKharkiv National Medical UniversityKharkiv Municipal Perinatal CenterKharkiv Municipal Perinatal CenterKharkiv Municipal Perinatal CenterThe co-existing maternal (MA) and fetal arrythmia (FA) are associated with maternal goiter disease, chorioamnionitis, or Ballantyne’s syndrome. The aim of the study - to determine the involvement of maternal arrhythmia and fetal arrhythmia in the pathogenic scenario of hemodynamic deterioration in Ballantyne’s syndrome. Clinical case. It is presented the case of sustained several weeks of MA and FA. A pregnant woman aged 36 years was admitted to the division of maternal and fetal medicine at 34 weeks of gestation. She was gravida 4 and para 3. She had complaints of rapid heartbeat, left-side chest discomfort, and lower extremities edema. The diagnosis of maternal sinus tachycardia was supported via electrocardiography. The indices of fetal, umbilical, and uteroplacental hemodynamics detected via Doppler ultrasound were appropriate. However, fetal heart rate was 209 beats/min. The transplacental attack of oral sotalol 80 mg thrice daily was prescribed. But maternal and fetal tachycardia persisted to stay. The tricuspid regurgitation was detected via Doppler ultrasound next day. The fetus was hydropic. The male baby of 2400 g, 46 cm length, 31 cm head circumference, and Apgar score 3→5 was delivered via caesarean. The newborn was discharged in 21 days. He was admitted again in one month for rehabilitation. Maternal heart rate reduced to 72 beats/min and edema regressed in three days after birth. Conclusions. MA and FA before fetal hydrops are supposed to be the early signs of mirror syndrome. This speculation needs further investigation. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.http://ujhw.med-expert.com.ua/article/view/301738maternal arrhythmiafetal arrhythmiaballantyne’s syndrometransplacental treatment |
| spellingShingle | I.V. Lakhno I.M. Sykal S.M. Korovai V.M. Korotych A.E. Tkachov Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report Український журнал Здоров'я жінки maternal arrhythmia fetal arrhythmia ballantyne’s syndrome transplacental treatment |
| title | Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report |
| title_full | Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report |
| title_fullStr | Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report |
| title_full_unstemmed | Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report |
| title_short | Maternal and fetal arrhythmia as a sign of hemodynamic deterioration: a case report |
| title_sort | maternal and fetal arrhythmia as a sign of hemodynamic deterioration a case report |
| topic | maternal arrhythmia fetal arrhythmia ballantyne’s syndrome transplacental treatment |
| url | http://ujhw.med-expert.com.ua/article/view/301738 |
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