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A Case of Fetal Atrial Flutter with Hydrops Fetalis

Journal of the Korean Pediatric Society 1993;36(8):1165-1170.
Published online August 15, 1993.
A Case of Fetal Atrial Flutter with Hydrops Fetalis
Seong Hang Choi, Kee Hyoung Lee, Chang Sung Sohn, Ju Won Lee, Young Chang Tockgo
Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
태아수종을 동반한 태아심방조동 치험 1례
최성항, 이기형, 손창성, 이주원, 독고영창
고려대학교 의과대학 소아과학교실
Abstract
Fetal hydrops is often serious and associated with a high perinatal motality rate. Cardiac causes of fetal hydrops include congenital heart diseases and rhythm disturbances. An irregular fetal heart rate may indicate atrial fibrillation and atrial flutter with variable AV conduction. Fetal atrial flutter is characterized by the pressence of flutter waves which are regular sawtooth undulations in the baseline that are larger than p waves. Authors experienced a case of fetal atrial flutter with hydrops fetalis at 30 week's gestation which was confirmed by fetal M-mode echocardiogram and electrocardiography. A new born infant had shown to have atrial flutter in utero and after delivery was successfully converted to normal sinus rhythm with digoxin and quinidene.
Key Words: Fetal atrial flutter


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